Individual
MARY ALISON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3799 12TH STREET EXT STE 100, CAYCE, SC 29033-3750
(803) 926-6810
(803) 926-6811
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5688
SC
Other
Enumeration date
10/22/2019
Last updated
10/08/2020
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