Individual
OWEN FORSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3250 FOREST DR STE 50, COLUMBIA, SC 29204-4061
(803) 726-0309
(803) 726-0390
Mailing address
3250 FOREST DR STE 50, COLUMBIA, SC 29204-4061
(803) 726-0309
(803) 726-0390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7272
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7272
STATE LICENSE
—
Enumeration date
08/07/2017
Last updated
07/21/2022
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