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Organization
INTEGRATIVE THERAPY AND PERFORMANCE SPECIALISTS LLC
Active
Organization
INTEGRATIVE THERAPY AND PERFORMANCE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON WAYNE SERAFINO PT, DPT, FAAOMPT (OWNER)
(574) 309-1427
Entity
Organization
Contact information
Practice address
534 RIVER CROSSING DR STE 101, FORT MILL, SC 29715-7900
(803) 792-7367
Mailing address
268 RUNNER STONE LN, FORT MILL, SC 29715-2543
(574) 309-1427
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225XH1200X
Hand Occupational Therapist
—
NULL
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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