# CORA SOUTH CAROLINA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indigo Therapy Specialists - Socastee, CORA Physical Therapy - Socastee
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831507235
- **Authorized official:** MR. STEPHEN R KRZYMINSKI (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (419) 221-6717

## Contact information

- **Practice address:** 4871 SOCASTEE BLVD., SUITE E, MYRTLE BEACH, SC 29588-9356
- **Practice address phone:** (843) 293-5610
- **Practice address fax:** (843) 293-5690
- **Mailing address:** PO BOX 150, LIMA, OH 45802-0150
- **Mailing address phone:** (419) 221-6717
- **Mailing address fax:** (419) 222-0507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | SC | Yes |

## Other

- **Enumeration date:** 07/29/2014
- **Last updated:** 10/04/2023