Iacono, Debra M

Iacono, Debra M is an individual health care provider with primary practice located at 3799 12Th Street Ext Ste 100 , Cayce SC 29033-3750. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Iacono, Debra M can be contacted via phone (803) 926-6810.

Contact Information

Primary practice address
3799 12Th Street Ext Ste 100 Cayce SC 29033-3750
Phone: (803) 926-6810
Fax: (803) 926-6811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1915 South Carolina

Profile Details

NPI number 1982753091
LBN Legal business name Iacono, Debra M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Sep 20th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982753091 NPPES
South Carolina Other 1915 LICENSE #

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