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Organization
WARREN REHAB GROUP, LLC
Active
Organization
WARREN REHAB GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JUDD WARREN PTA (PRESIDENT)
(803) 445-2941
Entity
Organization
Contact information
Practice address
7430 COLLEGE ST, IRMO, SC 29063-2903
(803) 445-2941
(833) 450-0785
Mailing address
7430 COLLEGE ST, IRMO, SC 29063-2903
(803) 445-2941
(833) 450-0785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7639
—
SC
Enumeration date
12/18/2016
Last updated
03/31/2025
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