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NPI Code Detail

MEDICARE: COLUMBIA REHABILITATION CLINIC

MEDICARE: COLUMBIA REHABILITATION CLINIC
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
1174400000XSpecialist

General Provider Information

NPI Number : 1164404711
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIA REHABILITATION CLINIC
Provider Business Mailing Address
First Line : 2362 TWO NOTCH RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2257
Country : US
Telephone Number : 803-799-7007
Fax Number : 803-256-8410
Provider Business Practice Location Address
First Line : 2362 TWO NOTCH RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2257
Country : US
Telephone Number : 803-799-7007
Fax Number : 803-256-8410
Authorized Official
Title or Position : PHYSICAL THERAPIST/OWNER
Name : MR. BRUCE DAVID FILLER
Credential : P.T.
Telephone Number : 803-799-7007
Provider Enumeration Date : 11/18/2005
Last Update Date : 08/08/2025

Similar Medicare Providers

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Practice Location Address:
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1518054154 — MS. LAURA JEAN WHITCOMB
Practice Location Address:
2362 TWO NOTCH RD , COLUMBIA REHABILITATION CLINIC
COLUMBIA, SC
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Practice Phone: 803-799-7007
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1043307614 — MR. BRUCE DAVID FILLER
Practice Location Address:
2362 TWO NOTCH RD , COLUMBIA REHABILITATION CLINIC
COLUMBIA, SC
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Practice Fax: 803-256-8410
1861589400 — MRS. TRACY LYNN HILL PT
Practice Location Address:
2362 TWO NOTCH RD , COLUMBIA REHABILIATION CLINIC
COLUMBIA, SC
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Practice Fax: 803-256-8410
1104065952 — DR. DEANNA LEWIS GLENN PT
Practice Location Address:
2362 TWO NOTCH RD
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29204-2257
Practice Phone: 803-799-7007
Practice Fax:

Directions to “COLUMBIA REHABILITATION CLINIC ” Practice Location

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