# INDIVIDUALIZED PHYSICAL THERAPY, INC.

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

## Provider details

- **NPI number:** 1184673071
- **Authorized official:** MISS JOY ROBIN LEE MHS, RPT (CEO)
- **Authorized official phone:** (864) 232-6982

## Contact information

- **Practice address:** 25 WOODS LAKE RD, SUITE 709, GREENVILLE, SC 29607-6125
- **Practice address phone:** (864) 232-6982
- **Practice address fax:** (864) 232-6983
- **Mailing address:** 25 WOODS LAKE RD, SUITE 709, GREENVILLE, SC 29607-6125
- **Mailing address phone:** (864) 232-6982
- **Mailing address fax:** (864) 232-6983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2540 | SC | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 08/22/2020