# LONG BAY REHAB, LLC

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

## Provider details

- **NPI number:** 1609940394
- **Authorized official:** CATHERINE SHELTON P.T. (PARTNER)
- **Authorized official phone:** (843) 293-5610

## Contact information

- **Practice address:** 4871 SOCASTEE BLVD UNIT E, MYRTLE BEACH, SC 29588-7252
- **Practice address phone:** (843) 293-5610
- **Practice address fax:** (843) 293-5690
- **Mailing address:** PO BOX 220, CHAPIN, SC 29036-0220
- **Mailing address phone:** (843) 293-5610
- **Mailing address fax:** (843) 293-5690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3584 | SC | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 11/16/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP3715 | — | SC |