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1275107740
SANTTANU MCDANIEL
COLUMBIA, SC
NPI
1275107740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 4659)
Enumeration Date
2021-05-18
Last Update Date
2021-05-18
Business Address
MR. SANTTANU MCDANIEL PTA
21 GATEWAY CORNERS PARK STE 102
COLUMBIA, SC 29203-8906
Phone number: 803-699-9775
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Mailing Address
MR. SANTTANU MCDANIEL PTA
109 LOGGERHEAD DR
COLUMBIA, SC 29229-7909
Phone number: 803-529-9166
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