| NPI | 1720160450 |
|---|---|
| Doing Business As | MYRTLE BEACH PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CHARLEEN FITZGERALD Credentialing 864-482-0064 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2014-11-17 |