Individual
MRS. LAURA WHELCHEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2362 TWO NOTCH RD, COLUMBIA, SC 29204-2257
(803) 799-7007
(803) 256-8410
Mailing address
2362 TWO NOTCH RD, COLUMBIA REHABILITATION CLINIC, COLUMBIA, SC 29204-2257
(803) 799-7007
(803) 256-8410
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1334
SC
225100000X
Physical Therapist
1334
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0718
—
SC
Enumeration date
09/13/2006
Last updated
11/09/2020
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