# CENTRUM THERAPY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centrum Therapy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396455515
- **Authorized official:** NATHAN PRATER PT (OWNER)
- **Authorized official phone:** (864) 993-6304

## Contact information

- **Practice address:** 104 MALLORY DR, GOOSE CREEK, SC 29445-6406
- **Practice address phone:** (843) 996-1471
- **Practice address fax:** (843) 808-6986
- **Mailing address:** PO BOX 1119, GOOSE CREEK, SC 29445-1119
- **Mailing address phone:** (843) 996-1471
- **Mailing address fax:** (843) 808-6986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 11/29/2022
- **Last updated:** 09/02/2025