Individual
JENNA R ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1900 SUNSET BLVD, WEST COLUMBIA, SC 29169-5932
(803) 926-7204
Mailing address
1311 AUGUSTA RD, WEST COLUMBIA, SC 29169-6320
(803) 926-7204
(803) 926-7206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3014
SC
Other
Enumeration date
08/15/2006
Last updated
09/27/2017
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