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Organization
SOUTH CAROLINA LUNA CARE PHYSICAL THERAPY LLC
Active
Organization
SOUTH CAROLINA LUNA CARE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOFFER DUGGAN (CEO)
(866) 806-3599
Entity
Organization
Contact information
Practice address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
(866) 806-3599
(833) 817-7128
Mailing address
PO BOX 2350, ROCKLIN, CA 95677-8350
(866) 806-3599
(833) 817-7128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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