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Organization
A.T. PHYSIATRY, LLC
Active
Organization
A.T. PHYSIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBREONA THOMAS DO (OWNER)
(843) 637-6755
Entity
Organization
Contact information
Practice address
6650 RIVERS AVE, STE 100, CHARLESTON, SC 29406
(803) 274-2502
Mailing address
PO BOX 290489, COLUMBIA, SC 29229-0009
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/07/2023
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