# DRAYER PHYSICAL THERAPY-SOUTH CAROLINA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144611963
- **Authorized official:** LUKE A DRAYER (CHAIRMAN AND CEO)
- **Authorized official phone:** (717) 220-2100

## Contact information

- **Practice address:** 1125 GEORGE ROGERS BLVD, WILLIAM BRICE STADIUM, COLUMBIA, SC 29201
- **Practice address phone:** (717) 220-2100
- **Mailing address:** 1125 GEORGE ROGERS BLVD, WILLIAM BRICE STADIUM, COLUMBIA, SC 29201
- **Mailing address phone:** (205) 887-3789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 02/16/2015