Healthcare Provider Details
I. General information
NPI: 1639863764
Provider Name (Legal Business Name): BEBETTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2023
Last Update Date: 03/30/2024
Certification Date: 03/30/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 RICE BENT WAY STE 4
COLUMBIA SC
29229-6850
US
IV. Provider business mailing address
101 RICE BENT WAY STE 4
COLUMBIA SC
29229-6850
US
V. Phone/Fax
- Phone: 803-386-9288
- Fax:
- Phone: 803-386-9288
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CALEEN
HAWKINS
Title or Position: OWNER DOCTOR
Credential: PT
Phone: 803-386-9288