Individual
RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
Mailing address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3474
SC
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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