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Organization
BLUE RIDGE PHYSICAL THERAPY, LLC
Active
Organization
BLUE RIDGE PHYSICAL THERAPY, LLC
Active
Other names
Blue Ridge Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN GILLIAM DPT (OWNER, PHYSICAL THERAPIST)
(843) 532-1339
Entity
Organization
Contact information
Practice address
111 MOCCASIN RUN, SUNSET, SC 29685-2507
(843) 532-1339
Mailing address
111 MOCCASIN RUN, SUNSET, SC 29685-2507
(843) 532-1339
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/21/2023
Last updated
09/06/2023
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