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1073872412
ROBERT MACELDERRY
COLUMBIA, SC
NPI
1073872412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 2073)
Enumeration Date
2012-05-04
Last Update Date
2012-05-04
Business Address
Mr. ROBERT MACELDERRY PTA
2362 TWO NOTCH RD.
COLUMBIA, SC 29204
Phone number: 803-799-7007
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Mailing Address
Mr. ROBERT MACELDERRY PTA
2362 TWO NOTCH RD. COLUMBIA REHAB. CLINIC, INC.
COLUMBIA, SC 29204
Phone number: 803-799-7007
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