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Dedra Simmons

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

NPI number1508024704
StatusActive
Last updated in NPPESMay 26, 2008

Details

NPI
1508024704
Entity type
Individual (NPI-1)
Name
Dedra Simmons
Sex
Female
Sole proprietor
No
Enumeration date
May 26, 2008
Last updated
May 26, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5587SCYes

Practice location

10160 Dorchester Rd
Summerville, SC 29485-8527

Phone 843-851-5820 · Fax 843-832-6403

Mailing address

10160 Dorchester Rd
Summerville, SC 29485-8527

Phone 843-851-5820 · Fax 843-832-6403

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