# CAROLINA DOCTORS OF PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1689459323
- **Authorized official:** SCOTT L.AWRENCE HOLMAN PT DPT OCS (PRESIDENT/PHYSICAL THERAPIST)
- **Authorized official phone:** (951) 375-7102

## Contact information

- **Practice address:** 61 RIVERWALK BLVD STE 2F, RIDGELAND, SC 29936-5071
- **Practice address phone:** (843) 645-6978
- **Mailing address:** 61 RIVERWALK BLVD STE 2F, RIDGELAND, SC 29936-5071
- **Mailing address phone:** (843) 645-6978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 08/30/2023
- **Last updated:** 12/18/2023