Individual
MR. RYAN CHURCH
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
881 SESSIONS RD, ELGIN, SC 29045-8987
(803) 467-6911
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5223
SC
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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