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NPI Code Detail

MEDICARE: COLUMBIA REHABILITATION CLINIC, INC.

MEDICARE: COLUMBIA REHABILITATION CLINIC, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1598852261
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIA REHABILITATION CLINIC, INC.
Provider Business Mailing Address
First Line : 7182 WOODROW STREET
Second Line : SUITE 102
City : IRMO
State : SC
Zip : 29063-2873
Country : US
Telephone Number : 803-749-0808
Fax Number : 803-749-0308
Provider Business Practice Location Address
First Line : 7182 WOODROW ST STE 102
Second Line :
City : IRMO
State : SC
Zip : 29063-2958
Country : US
Telephone Number : 803-749-0808
Fax Number : 803-749-0308
Authorized Official
Title or Position : OWNER/DIRECTOR
Name : MR. BRUCE D FILLER
Credential : PT
Telephone Number : 803-799-7007
Provider Enumeration Date : 10/06/2006
Last Update Date : 08/08/2025

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Directions to “COLUMBIA REHABILITATION CLINIC, INC. ” Practice Location

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