# MONCKS CORNER PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1366453003
- **Authorized official:** FRANCES P. JOHNSON (CO-OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (843) 899-5374

## Contact information

- **Practice address:** 209 W MAIN ST, MONCKS CORNER, SC 29461-2604
- **Practice address phone:** (843) 899-5374
- **Practice address fax:** (843) 899-5376
- **Mailing address:** 209 W MAIN ST, MONCKS CORNER, SC 29461-2604
- **Mailing address phone:** (843) 899-5374
- **Mailing address fax:** (843) 899-5376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1202 | SC | — |
| 225100000X | Physical Therapist | 767 | SC | Yes |
| 225X00000X | Occupational Therapist | 2237 | SC | — |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 09/07/2012