# REBEL PEDIATRIC THERAPY LLC

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

## Provider details

- **NPI number:** 1912852526
- **Authorized official:** DR. HOLLY KNAPP PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (951) 813-6148

## Contact information

- **Practice address:** 5 SYCAMORE AVE, MOBILE CLINIC - NO SERVICES RENDERED AT THIS ADDRESS, CHARLESTON, SC 29407
- **Practice address phone:** (951) 813-6148
- **Mailing address:** 5 SYCAMORE AVE, CHARLESTON, SC 29407-6705
- **Mailing address phone:** (951) 813-6148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2026
- **Last updated:** 02/27/2026