Individual
JONATHAN LEIGH BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
7033 SAINT ANDREWS RD STE 203, COLUMBIA, SC 29212-1181
(803) 791-2713
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2203
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6992
SC
Other
Enumeration date
06/22/2015
Last updated
01/11/2024
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