Provider First Line Business Practice Location Address:
PT PROGRAM, DEPT OF EXERCISE SCIENCE
Provider Second Line Business Practice Location Address:
UNIVERSITY OF SOUTH CAROLINA
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-777-6583
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2006