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Individual

ELIZABETH CUNNINGHAM OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3620 COVENANT RD, COLUMBIA, SC 29204-4216
(803) 787-3003
Mailing address
5000 WITTERING DR, COLUMBIA, SC 29206-2923
(803) 528-8033

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10354
SC

Other

Enumeration date
08/25/2020
Last updated
08/25/2020
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