# INDIGO PHYSICAL THERAPY & SPORTS MEDICINE

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

## Provider details

- **NPI number:** 1891889259
- **Authorized official:** MS. FRANCINE N TOBIN (PRES)
- **Authorized official phone:** (843) 342-7330

## Contact information

- **Practice address:** 12 LAFAYETTE PL, SUITE A, HILTON HEAD, SC 29926-2209
- **Practice address phone:** (843) 342-7330
- **Mailing address:** PO BOX 23584, HILTON HEAD, SC 29925-3584
- **Mailing address phone:** (843) 342-7330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 4193 | SC | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020