Individual ProviderCynthia Dianne EdselPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10071 Broad River Rd Ste B, Irmo, SC 29063-2381(803) 445-1069(803) 788-8484PECOS EnrollmentBased on the most recent information from CMS, provider Cynthia Dianne Edsel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1942779046Provider TypeIndividualFull NameEdsel, Cynthia DianneGenderFemaleSole ProprietorNoEnumeration Date11/19/2018Last Updated11/19/2018Contact InformationPractice LocationPractice Address10071 Broad River Rd Ste B, Irmo, SC 29063-2381Phone(803) 445-1069Fax(803) 445-1097Mailing LocationMailing Address141 Atrium Way, Columbia, SC 29223-6301Phone(803) 788-8484Fax(803) 788-8499Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense8829South Carolina