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1922718741
DEREK CARTER
COLUMBIA, SC
NPI
1922718741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 4128)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
DEREK CARTER PTA
1715 BLANDING ST
COLUMBIA, SC 29201-3441
Phone number: 803-799-3926
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Mailing Address
DEREK CARTER PTA
1715 BLANDING ST
COLUMBIA, SC 29201-3441
Phone number: 803-799-3926
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