# REVIVE REHAB LLC

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

## Provider details

- **NPI number:** 1467184994
- **Authorized official:** ALLISON FLOWERS DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (401) 663-1413

## Contact information

- **Practice address:** 169 BLUFFTON RD UNIT I, BLUFFTON, SC 29910-6203
- **Practice address phone:** (401) 663-1413
- **Mailing address:** 84 RED CEDAR ST, BLUFFTON, SC 29910-8925
- **Mailing address phone:** (401) 663-1413

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2022
- **Last updated:** 08/03/2022