Provider First Line Business Practice Location Address:
4350 ST ANDREWS RD
Provider Second Line Business Practice Location Address:
STE D COLUMBIA REHABILITATION CLINIC
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29210-4169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-772-2735
Provider Business Practice Location Address Fax Number:
803-798-5514
Provider Enumeration Date:
10/06/2006