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Organization
PALMETTO REHABILITATION SPECIALISTS
Active
Organization
PALMETTO REHABILITATION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSIE M BROWN (PRACTICE ADMINISTRATOR)
(803) 802-5855
Entity
Organization
Contact information
Practice address
134 PROFESSIONAL PARK DR, ROCK HILL, SC 29732-1178
(803) 329-4685
(803) 329-4683
Mailing address
105 BEN CASEY DR, SUITE 127, FORT MILL, SC 29708-8561
(803) 802-5855
(803) 802-5869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
SC
225X00000X
Occupational Therapist
—
SC
225XH1200X
Hand Occupational Therapist
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4586
—
SC
Enumeration date
10/08/2008
Last updated
10/08/2008
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