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Organization
BREAK FREE WITH PHYSICAL THERAPY, LLC
Active
Organization
BREAK FREE WITH PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETCHEN RAE BROOKER DPT (DOCTOR OF PHYSICAL THERAPY)
(843) 478-9778
Entity
Organization
Contact information
Practice address
1715 HOLLYDALE CT UNIT C, JOHNS ISLAND, SC 29455-8319
(843) 478-9778
Mailing address
1944 EVERETT ST, JOHNS ISLAND, SC 29455-8117
(843) 478-9778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/12/2021
Last updated
03/22/2024
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