Whalio Doctors

NPI 1003186404

Jordan Brown Oates

Practitioner Physical Therapy Assistant Laurens, SC

Practice location

Address
379 Pinehaven Street Ext, Laurens, SC 29360-2672
Phone
(864) 984-6584
Fax
(864) 984-6464
Mailing address
109 Hudders Creek Way, Simpsonville, SC 29680-3543

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2707 (SC)

Registry record

NPI
1003186404
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jan 2012
Record last updated
9 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.