Doctor Name: | MR. DAVID W PEGRAM |
NPI Number: | 1013083690 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 4544 |
Business Practice Address: | 1075 Boiling Springs Rd Spartanburg, SC - 293032248 |
Business Phone Number: | 8645802001 |
Business Fax Number: | 8645802003 |
Mailing Address: | Po Box 3408, IRMO |
State: | SC |
Postal Code: | 290634015 |
Phone Number: | 8037325887 |
Fax Number: | 8037325997 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |