# DYNAMIC PHYSICAL THERAPY & REHABILITATION CENTER LLC

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

## Provider details

- **NPI number:** 1376637454
- **Authorized official:** MR. MARVIN SALAMANCA STO.DOMINGO PT (PRESIDENT)
- **Authorized official phone:** (843) 910-4093

## Contact information

- **Practice address:** 2307 E HIGHWAY 76, MARION, SC 29571-6351
- **Practice address phone:** (843) 423-4888
- **Practice address fax:** (843) 423-4849
- **Mailing address:** PO BOX 1864, GREENVILLE, SC 29602-1864
- **Mailing address phone:** (864) 331-0919
- **Mailing address fax:** (864) 331-0922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2466 | SC | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 05/01/2008