| Doctor Name: | DR. RICHARD ANTHONY DEFALCO |
| NPI Number: | 1578693131 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT, OCS, CSCS |
| License Number: | 10205 |
| Business Practice Address: | 1301 48th Ave N Suite D Myrtle Beach, SC - 295775427 |
| Business Phone Number: | 8438391300 |
| Business Fax Number: | 8438391320 |
| Mailing Address: | Po Box 2397, PAWLEYS ISLAND |
| State: | SC |
| Postal Code: | 295852397 |
| Phone Number: | 8432350200 |
| Fax Number: | 8432350242 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 02/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 10205 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| 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 |