Individual
KRISTIN E BEVILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
SC HOUSE CALLS INC., 111 DOCTORS CIR., COLUMBIA, SC 29203
(800) 491-0909
(843) 589-1585
Mailing address
SC HOUSE CALLS INC., 111 DOCTORS CIR., COLUMBIA, SC 29203
(800) 491-0909
(843) 589-1585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9145
—
SC
05
—
TH3758
—
SC
Enumeration date
01/18/2011
Last updated
02/15/2024
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