| Organization Name: | PREMIER PHYSICAL THERAPY |
| NPI Number: | 1033181110 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JILL M. BOORMAN (CLINICAL DIRECTOR/OWNER) |
| Mailing Address: | 2070 Northbrook Blvd. Suite B6 North Charleston |
| State: | SC US |
| Postal Code: | 294069252 |
| Phone Number: | 8437975167 |
| Fax Number: | 8437975723 |
| NPI Enumeration Date: | 02/03/2006 |
| NPI Last Update Date: | 07/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |