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Organization
LIVE OAKS PHYSICAL THERAPY
Active
Organization
LIVE OAKS PHYSICAL THERAPY
Active
Other names
Live Oaks Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON GRAVES BENSCH PT (PRESIDENT)
(843) 717-2400
Entity
Organization
Contact information
Practice address
8084 E MAIN ST, SUITE A, RIDGELAND, SC 29936-8599
(843) 717-2400
(843) 717-2500
Mailing address
8084 E MAIN ST STE A, SUITE A, RIDGELAND, SC 29936-8667
(843) 717-2400
(843) 717-2500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1369
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1369
LICENSE
SC
Enumeration date
05/28/2006
Last updated
09/30/2011
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