Individual
ROBERT SCOTT VAIGNEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5176 TILLMAN RD, RIDGELAND, SC 29936-6745
(843) 441-0353
Mailing address
5176 TILLMAN ROAD, RIDGELAND, SC 29936
(843) 441-0353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1550
SC
Other
Enumeration date
07/07/2007
Last updated
07/08/2007
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