# VANSLYKE PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1427714948
- **Authorized official:** MATTHEW R VANSLYKE PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (518) 332-1602

## Contact information

- **Practice address:** 180 WINGO WAY STE 106, MOUNT PLEASANT, SC 29464-1810
- **Practice address phone:** (518) 332-1602
- **Mailing address:** 1425 THAYER PL, MOUNT PLEASANT, SC 29466-9027
- **Mailing address phone:** (518) 332-1602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 11/09/2021