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1174953475
KEVIN TODD GOODWILL
COLUMBIA, SC
NPI
1174953475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3497)
Enumeration Date
2013-11-22
Last Update Date
2016-05-23
Business Address
-- KEVIN TODD GOODWILL PTA
2300 CLEMSON RD
COLUMBIA, SC 29229-6872
Phone number: 803-400-8881
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Mailing Address
-- KEVIN TODD GOODWILL PTA
2300 CLEMSON RD
COLUMBIA, SC 29229-6872
Phone number:
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