Basic Information
| Provider Information | |||||||||
| NPI: | 1255415543 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MEYERS | ||||||||
| FirstName: | SVEN | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 216 VALLEY CREEK DR | ||||||||
| Address2: | |||||||||
| City: | WESTMINSTER | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296933150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8646380860 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12023 N. RADIO STATION RD | ||||||||
| Address2: | SUITE A | ||||||||
| City: | SENECA | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296780931 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8649850770 | ||||||||
| FaxNumber: | 8649851770 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2006 | ||||||||
| LastUpdateDate: | 11/28/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 1874 | SC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.