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Organization
NORTH GROVE PHYSICAL THERAPY, LLC
Active
Organization
NORTH GROVE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH ANN FRONEBERGER PT (MANAGER)
(864) 585-8474
Entity
Organization
Contact information
Practice address
1330 BOILING SPRINGS RD, SUITE 1600B, SPARTANBURG, SC 29303-4201
(864) 582-0019
(864) 582-2160
Mailing address
1330 BOILING SPRINGS RD, SUITE 1600B, SPARTANBURG, SC 29303-4201
(864) 582-0019
(864) 582-2160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
569
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8636
SC MEDICARE PROVIDER #
SC
01
—
DF4478
SC RAILROAD PROVIDER #
SC
Enumeration date
08/21/2006
Last updated
06/06/2008
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