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1265969968
DARCIE M. MOORE
IRMO, SC
NPI
1265969968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 3706)
Enumeration Date
2017-05-12
Last Update Date
2017-05-12
Business Address
Mrs. DARCIE M. MOORE PTA
1 WELLNESS BLVD., SUITE 204
IRMO, SC 29063
Phone number: 803-749-0808
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Mailing Address
Mrs. DARCIE M. MOORE PTA
1 WELLNESS BLVD., SUITE 204 COLUMBIA REHABILITATION CLINIC, INC.
IRMO, SC 29063
Phone number: 803-749-0808
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