Organization
NEWBERRY PHYSICAL THERAPY AND SPORTS MEDICINE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTHONY WALDROP DPT (DIRECTOR)
(803) 276-7370
Entity
Organization
Contact information
Practice address
2515 EVANS ST, NEWBERRY, SC 29108-2939
(803) 276-7370
(803) 276-7369
Mailing address
2515 EVANS ST, NEWBERRY, SC 29108-2939
(803) 276-7370
(803) 276-7369
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2102
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0650
—
SC
Enumeration date
04/11/2007
Last updated
04/02/2008
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