# BREAKTHROUGH SC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Your Life Wellness & Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295219616
- **Authorized official:** JEFFREY HATHAWAY DPT (CEO)
- **Authorized official phone:** (919) 388-0111

## Contact information

- **Practice address:** 7580 CHARLOTTE HWY STE 1100, FORT MILL, SC 29707-7803
- **Practice address phone:** (803) 548-5662
- **Practice address fax:** (803) 548-5635
- **Mailing address:** 981 HIGH HOUSE RD STE 100, CARY, NC 27513-3510
- **Mailing address phone:** (919) 377-8744
- **Mailing address fax:** (502) 473-9310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2018
- **Last updated:** 09/21/2018