# CORA SOUTH CAROLINA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORA Physical Therapy - Hilton Head Northend
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134864531
- **Authorized official:** MR. CALVIN D KENNEDY (SENIOR VP)
- **Authorized official phone:** (419) 221-6717

## Contact information

- **Practice address:** 25 HOSPITAL CENTER BLVD STE 106, HILTON HEAD, SC 29926-2735
- **Practice address phone:** (843) 689-5282
- **Practice address fax:** (843) 689-5280
- **Mailing address:** PO BOX 150, LIMA, OH 45802-0150
- **Mailing address phone:** (419) 221-6717
- **Mailing address fax:** (419) 222-0507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2022
- **Last updated:** 04/29/2022