# PEDIATRIC PHYSICAL THERAPY, PC

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

## Provider details

- **NPI number:** 1306890579
- **Authorized official:** MS. MARSHA COTTER CALLAHAN PT (PRESIDENT)
- **Authorized official phone:** (843) 769-7773

## Contact information

- **Practice address:** 1319 SAVANNAH HWY, SUITE D, CHARLESTON, SC 29407-7848
- **Practice address phone:** (843) 769-7773
- **Practice address fax:** (843) 329-4043
- **Mailing address:** 1319 SAVANNAH HWY, SUITE D, CHARLESTON, SC 29407-7848
- **Mailing address phone:** (843) 769-7773
- **Mailing address fax:** (843) 329-4043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 505 | SC | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 08/22/2020