# GRACE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1356544415
- **Authorized official:** ALICIA DUNCAN (BUSINESS MANAGER)
- **Authorized official phone:** (843) 871-3522

## Contact information

- **Practice address:** 440 UNIT D OLD TROLLEY ROAD, SUMMERVILLE, SC 29485
- **Practice address phone:** (843) 871-3522
- **Practice address fax:** (843) 871-3523
- **Mailing address:** 440 UNIT D OLD TROLLEY ROAD, SUMMERVILLE, SC 29485
- **Mailing address phone:** (843) 871-3522
- **Mailing address fax:** (843) 871-3523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3858 | SC | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 09/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP5224 | — | SC |