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Luther Agdaca

Physical Therapist in Simpsonville, SC. Individual provider (NPI-1).

NPI number1255879862
StatusActive
Last updated in NPPESFeb 2, 2017

Details

NPI
1255879862
Entity type
Individual (NPI-1)
Name
Luther Agdaca
Sex
Male
Sole proprietor
No
Enumeration date
Feb 2, 2017
Last updated
Feb 2, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

6 Felhurst Ct
Simpsonville, SC 29681-6546

Phone 864-412-8901

Mailing address

6 Felhurst Ct
Simpsonville, SC 29681-6546

Phone 864-412-8901

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