Individual
DR. RUSSELL HEATH COGSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1525 CHAPIN ROAD, CHAPIN, SC 29036
(803) 345-3811
Mailing address
1525 CHAPIN ROAD, CHAPIN, SC 29036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7680
SC
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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