# OLYMPIC PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1710060868
- **Authorized official:** MR. KENTON HOLDEN JR. PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (843) 216-3534

## Contact information

- **Practice address:** 1476 LONG GROVE DR, SUITE 1, MT PLEASANT, SC 29464-7571
- **Practice address phone:** (843) 216-3534
- **Mailing address:** 1476 LONG GROVE DR, SUITE 1, MT PLEASANT, SC 29464-7571
- **Mailing address phone:** (843) 216-3534

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/22/2020