Individual
TORY R GUILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1203 OLD TROLLEY RD STE F, SUMMERVILLE, SC 29485-5296
(843) 486-0999
(843) 486-0989
Mailing address
1203 OLD TROLLEY RD STE F, SUMMERVILLE, SC 29485-5296
(843) 486-0999
(843) 486-0989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10392
SC
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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