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Individual

SHERRY LYNN FADEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RPT

Contact information

Practice address
9600 TWO NOTCH RD, SUITE #24, COLUMBIA, SC 29223-4304
(803) 736-5540
(803) 699-0951
Mailing address
9600 TWO NOTCH RD, SUITE #24, COLUMBIA, SC 29223-4304
(803) 736-5540
(803) 699-0951

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4587
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4587
STATE LICENSE NUMBER
SC
Enumeration date
04/02/2007
Last updated
07/08/2007
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