KELLEY WOOD HERNDON

COLUMBIA, SC
NPI1720350853
Former NameKELLEY MARIE WOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  2723S)
Enumeration Date2012-02-06
Last Update Date2012-02-06
Business Address
MRS. KELLEY WOOD HERNDON PTA
7601 PARKLANE RD
COLUMBIA, SC 29223-6122
Phone number: 803-741-9090
Mailing Address
MRS. KELLEY WOOD HERNDON PTA
7601 PARKLANE RD
COLUMBIA, SC 29223-6122
Phone number: 803-741-9090
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