# CAROLINA PHYSICAL THERAPY SERVICES, LLC

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

## Provider details

- **NPI number:** 1629155023
- **Authorized official:** MS. PHYLLIS LESLIE LUCAS MS, PT (LEAD PHYSICAL THERAPIST)
- **Authorized official phone:** (864) 229-2663

## Contact information

- **Practice address:** 102 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
- **Practice address phone:** (864) 229-2663
- **Practice address fax:** (864) 227-9510
- **Mailing address:** 102 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2315
- **Mailing address phone:** (864) 229-2663
- **Mailing address fax:** (864) 227-9510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 4489 | SC | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 01/22/2010