Organization Name: | WALTERBORO PHYSICAL THERAPY WORKS LLC |
NPI Number: | 1184828980 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALTER R PANGALANGAN (PHYSICAL THERAPIST OWNER) |
Mailing Address: | 743 Bells Hwy Walterboro |
State: | SC US |
Postal Code: | 294882707 |
Phone Number: | 8435496487 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | SC4348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |