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1083156061
DEREK CLARK
COLUMBIA, SC
NPI
1083156061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 8402)
Enumeration Date
2016-11-08
Last Update Date
2016-11-08
Business Address
Mr. DEREK CLARK DPT
6349 GARNERS FERRY RD
COLUMBIA, SC 29209
Phone number: 803-776-4000
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Mailing Address
Mr. DEREK CLARK DPT
6349 GARNERS FERRY RD
COLUMBIA, SC 29209-0504
Phone number: 803-776-4000
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