# CHARLESTON ORTHOPEDICS AND SPORTS PERFORMANCE LLC

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

## Provider details

- **NPI number:** 1386382000
- **Authorized official:** STEPHEN CORREIA (OWNER/PT)
- **Authorized official phone:** (843) 364-7206

## Contact information

- **Practice address:** 3401 SALTERBECK ST STE 104, MOUNT PLEASANT, SC 29466-7168
- **Practice address phone:** (843) 364-7206
- **Mailing address:** 1321 CROWN REACH, MOUNT PLEASANT, SC 29466-7921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2022
- **Last updated:** 01/06/2023