RUSSELL DELA PENA

FLORENCE, SC
NPI1194916809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  5011)
Enumeration Date2007-08-07
Last Update Date2007-08-07
Business Address
Mr. RUSSELL DELA PENA PT
555 E CHEVES ST
FLORENCE, SC 29506-2617
Phone number: 843-777-6700
Mailing Address
Mr. RUSSELL DELA PENA PT
601 IVANHOE DR
FLORENCE, SC 29505-3611
Phone number: 843-664-3083
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