# PIVOTAL INJURY AND REHAB INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pivotal Health and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386150613
- **Authorized official:** RYAN WAYNE BOWERS DC (OWNER)
- **Authorized official phone:** (803) 254-4699

## Contact information

- **Practice address:** 103 SUM MOR DR, WEST COLUMBIA, SC 29169-4828
- **Practice address phone:** (803) 254-4699
- **Practice address fax:** (803) 851-1235
- **Mailing address:** PO BOX 2632, LEXINGTON, SC 29071-2632
- **Mailing address phone:** (803) 218-9886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2017
- **Last updated:** 09/06/2023