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Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.
Active
Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.
Active
Parent organization
CLEMSON SPORTS MEDICINE & REHABILITATION
Other names
Balance Dizziness & Mobility Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE & REHABILITATION
Authorized official
LISA CRANE (A/R SUPERVISOR)
(864) 482-0064
Entity
Organization
Contact information
Practice address
9241 UNIVERSITY BLVD, SUITE B-1, NORTH CHARLESTON, SC 29406-9349
(843) 764-4887
(843) 764-4509
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
04/26/2016
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