# PERSONAL CARE PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1215941513
- **Authorized official:** MR. GERARD JOSEPH SCIBILIA DPT (OWNER THERAPIST)
- **Authorized official phone:** (843) 327-6278

## Contact information

- **Practice address:** 19 ARROWHEAD HALL, JOHNS ISLAND, SC 29455
- **Practice address phone:** (843) 327-6278
- **Mailing address:** 19 ARROWHEAD HALL, PERSONAL CARE PHYSICAL THERAPY, JOHNS ISLAND, SC 29455
- **Mailing address phone:** (843) 327-6278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3301 | SC | Yes |
| 2251X0800X | Orthopedic Physical Therapist | 3301 | SC | — |
| 261QP2000X | Physical Therapy Clinic/Center | 3301 | SC | — |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 04/23/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3301 | LICENSE NUMBER | SC |
| 05 | — | GP3978 | — | SC |