CLARENCE J MOSS

ANDERSON, SC
NPI1669812970
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  4358)
Additional Taxonomies225100000X Physical Therapist
(Licence: GA  PT002016)
Enumeration Date2013-07-01
Last Update Date2018-03-12
Business Address
CLARENCE J MOSS P.T.
800 N FANT ST
ANDERSON, SC 29621-5708
Phone number: 864-512-1196
Mailing Address
CLARENCE J MOSS P.T.
PO BOX 100174
COLUMBIA, SC 29202-3174
Phone number: 864-512-1417