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1013111871
DENNIS THEOBALD
HARTSVILLE, SC
NPI
1013111871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 7607)
Enumeration Date
2007-06-13
Last Update Date
2015-12-18
Business Address
DENNIS THEOBALD PT
313 W CAROLINA AVE
HARTSVILLE, SC 29550-4521
Phone number: 843-332-7750
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Mailing Address
DENNIS THEOBALD PT
1647 RUBY RD
HARTSVILLE, SC 29550-2407
Phone number: 843-332-7750
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