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1154785178
CHARLES P. GRAHAM
COLUMBIA, SC
NPI
1154785178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3475)
Enumeration Date
2016-04-06
Last Update Date
2016-04-06
Business Address
Mr. CHARLES P. GRAHAM P.T.A.
115 BLARNEY DRIVE SUITE 202
COLUMBIA, SC 29223
Phone number: 803-736-4845
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Mailing Address
Mr. CHARLES P. GRAHAM P.T.A.
115 BLARNEY DRIVE, SUITE 202 COLUMBIA REHABILITATION CLINIC, INC.
COLUMBIA, SC 29223
Phone number: 803-736-4845
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