# HARTSVILLE PHYSICAL THERAPY & REHABILITATION CENTER LLC.

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

## Provider details

- **NPI number:** 1427087113
- **Authorized official:** MR. MARVIN SALAMANCA STO.DOMINGO PT (PRESIDENT)
- **Authorized official phone:** (843) 857-4343

## Contact information

- **Practice address:** 107 N 8TH ST, HARTSVILLE, SC 29550-4105
- **Practice address phone:** (843) 857-4343
- **Practice address fax:** (843) 857-4345
- **Mailing address:** 107 N 8TH ST, HARTSVILLE, SC 29550-4105
- **Mailing address phone:** (843) 857-4343
- **Mailing address fax:** (843) 857-4345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2899 | SC | Yes |
| 225100000X | Physical Therapist | 3280 | SC | — |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP3924 | — | SC |