Organization Name: | FIRST PHYSICAL THERAPY LLC |
NPI Number: | 1376972109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD C ROUSH (EXECUTIVE VICE PRESIDENT) |
Mailing Address: | 141 E Church St Suite N Batesburg-leesville |
State: | SC US |
Postal Code: | 290707066 |
Phone Number: | 8035323335 |
Fax Number: | 8035323337 |
NPI Enumeration Date: | 11/02/2013 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |