# TONY SKORPUT, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skorput Rehabilitation & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558694299
- **Authorized official:** ANTHONY PAUL SKORPUT JR. BSPT (OWNER)
- **Authorized official phone:** (843) 616-4670

## Contact information

- **Practice address:** 121 WEST MAIN STREET, HEIRLOOM PLAZA, SUITES D & E, LAMAR, SC 29069
- **Practice address phone:** (843) 616-4670
- **Mailing address:** 121 WEST MAIN STREET, HEIRLOOM PLAZA, SUITES D & E, LAMAR, SC 29069
- **Mailing address phone:** (843) 616-4670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 318 | SC | Yes |

## Other

- **Enumeration date:** 09/14/2009
- **Last updated:** 09/14/2009