Cornell Therapy Associate

NPI #1700901394 in Sumter, South Carolina

Provider Information

NPI Number: 1700901394
Entity Type: Organization
Organization Name: Cornell Therapy Associate
Primary Specialty: Contractor
Enumeration Date: Mar 20, 2007
Last Updated: Jun 25, 2012

Practice Location

Address: 2570 CARRIAGE DR
City: Sumter
State: South Carolina
ZIP Code: 29154-7111
Phone: (803) 968-4723

Authorized Official

Name: MR. EDWARD HUSSEY CORNELL, OTR
Title: OWNER
Phone: (803) 968-4723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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