# JOEL N. BASLOT PT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dynamic Physical Therapy and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881921989
- **Authorized official:** MR. JOEL N BASLOT PT (PRESIDENT)
- **Authorized official phone:** (843) 423-4888

## Contact information

- **Practice address:** 2236 E HIGHWAY 76, SUITE A, MARION, SC 29571-6353
- **Practice address phone:** (843) 423-4888
- **Practice address fax:** (843) 423-4849
- **Mailing address:** 1021 CHERAW ST, SUITE 101, BENNETTSVILLE, SC 29512-2422
- **Mailing address phone:** (843) 423-4888
- **Mailing address fax:** (843) 423-4849

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2009
- **Last updated:** 04/21/2011