# SPECIALTY PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1427274489
- **Authorized official:** DR. LAURA M FLINT DPT (THERAPIST/OWNER)
- **Authorized official phone:** (843) 651-7513

## Contact information

- **Practice address:** 325 WELLNESS DR, MYRTLE BEACH, SC 29579-6708
- **Practice address phone:** (843) 650-4461
- **Practice address fax:** (843) 903-6109
- **Mailing address:** P O BOX 1356, MURRELLS INLET, SC 29576
- **Mailing address phone:** (843) 650-4461
- **Mailing address fax:** (843) 692-3094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | SC3892 | SC | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 11/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | TH1084 | — | SC |