| Marisol Paige Ann Clark, DPT | |
|
7467 Saint Andrews Rd, Suite 9, Irmo, SC 29063-2875 | |
| (803) 749-5031 | |
| (803) 749-5032 |
| Full Name | Marisol Paige Ann Clark |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7467 Saint Andrews Rd, Irmo, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235508839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7916 (South Carolina) | Primary |
| Provider Name | Benchmark Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811213341 PECOS PAC ID: 3779726468 Enrollment ID: O20130828000417 |
| Provider Name | Drayer Physical Therapy-south Carolina ,llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1841622354 PECOS PAC ID: 7315171394 Enrollment ID: O20131004000553 |
| Provider Name | Agilitas Usa, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20151021002796 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisol Paige Ann Clark, DPT 7467 Saint Andrews Rd, Suite 9, Irmo, SC 29063-2875 Ph: (803) 749-5031 | Marisol Paige Ann Clark, DPT 7467 Saint Andrews Rd, Suite 9, Irmo, SC 29063-2875 Ph: (803) 749-5031 |
Lexington Health Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1320 Dutch Fork Rd. Ste. A, Irmo, SC 29063 Phone: 803-314-5450 | |
Ashlyn Gardner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7585 Saint Andrews Rd, Irmo, SC 29063 Phone: 803-749-5031 | |
Mrs. Rohini Grewal, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 102, Irmo, SC 29063 Phone: 803-749-0808 Fax: 803-749-0308 | |
Stephen Bendziewicz, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Blackstone Dr, Irmo, SC 29063 Phone: 803-767-6361 | |
Progressive Physical Therapy, Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1013 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-602-0220 Fax: 803-781-7424 | |
Mr. Blake Litton Fletcher, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10071 Broad River Rd Ste B, Irmo, SC 29063 Phone: 803-445-1069 Fax: 803-445-1097 | |
Kelly Mack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Holly Creek Dr, Irmo, SC 29063 Phone: 803-749-1625 |