# LANCASTER PHYSICAL THERAPY LLC.

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

## Provider details

- **NPI number:** 1679502363
- **Authorized official:** MR. MARVIN SALAMANCA STO.DOMINGO PT (PRESIDENT)
- **Authorized official phone:** (803) 313-9300

## Contact information

- **Practice address:** 1025 W MEETING ST, SUITE 106, LANCASTER, SC 29720-2204
- **Practice address phone:** (803) 313-9300
- **Practice address fax:** (803) 313-9305
- **Mailing address:** 1025 W MEETING ST, SUITE 106, LANCASTER, SC 29720-2204
- **Mailing address phone:** (803) 313-9300
- **Mailing address fax:** (803) 313-9305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 3732 | SC | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP3547 | — | SC |