Individual
THEOTIS DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 OKATIE CENTER BOULEVARD NORTH, OKATIE, SC 29909-3750
(843) 547-4058
(843) 705-7411
Mailing address
100 OKATIE CENTER BOULEVARD NORTH, OKATIE, SC 29909-3750
(843) 547-4058
(843) 705-7411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10491
SC
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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