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1265207302
TREY ALLEN HEAD
WEST COLUMBIA, SC
NPI
1265207302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTA11583)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
TREY ALLEN HEAD LPTA
2993 SUNSET BLVD
WEST COLUMBIA, SC 29169-3421
Phone number: 002-680-3939
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Mailing Address
TREY ALLEN HEAD LPTA
2993 SUNSET BLVD
WEST COLUMBIA, SC 29169-3421
Phone number:
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