Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 9119 | SC |
NPI | 1013556554 |
---|---|
Provider Name | Eric Kao |
First Address | Greenville, SC 29605-3973 |
Second Address | Greenville, SC 29613-0002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2020 |
Last Update Date | 02/01/2020 |