Individual
KATHLEEN M GANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
212 EASCOTT PL, COLUMBIA, SC 29229-7586
(803) 586-7126
(803) 736-9406
Mailing address
212 EASCOTT PL STE 100, COLUMBIA, SC 29229-7586
(803) 720-5240
(803) 736-9406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5346
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1844
—
SC
Enumeration date
08/30/2007
Last updated
01/30/2019
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