# PHOENIX REHABILITATION AND HEALTH SERVICES OF SOUTH CAROLINA, LLC

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

## Provider details

- **NPI number:** 1790471852
- **Authorized official:** MELANIE REDFERN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (412) 567-2400

## Contact information

- **Practice address:** 2900 DREHER SHOALS RD STE C, COLUMBIA, SC 29212-7915
- **Practice address phone:** (803) 234-4138
- **Practice address fax:** (803) 792-0625
- **Mailing address:** 2000 WESTINGHOUSE DR STE 200, CRANBERRY TOWNSHIP, PA 16066-5238
- **Mailing address phone:** (724) 448-2733

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2023
- **Last updated:** 04/12/2023