MEDICARE: ELAIZA LEIGH APAN

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
1	225100000X	Physical Therapist	10672	SC

General Provider Information

NPI Number	:	1518616697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAIZA LEIGH APAN

Provider Business Mailing Address
First Line	:	4600 FOREST DR STE 2
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-3118
Country	:	US
Telephone Number	:	803-376-9789
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 FOREST DR STE 2
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29206-3118
Country	:	US
Telephone Number	:	803-376-9789
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	12/18/2025

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Directions to “ ELAIZA LEIGH APAN ” Practice Location

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