# PALMETTO THERAPY GROUP, LLC

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

## Provider details

- **NPI number:** 1952552259
- **Authorized official:** MR. JEFFREY LYNN GIBBS COTA (OWNER)
- **Authorized official phone:** (843) 245-3561

## Contact information

- **Practice address:** 3321 W DOGWOOD CHASE CT, FLORENCE, SC 29501-8040
- **Practice address phone:** (843) 245-3561
- **Practice address fax:** (800) 669-1249
- **Mailing address:** 3321 W DOGWOOD CHASE CT, FLORENCE, SC 29501-8040
- **Mailing address phone:** (843) 245-3561
- **Mailing address fax:** (800) 669-1249

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2008
- **Last updated:** 10/06/2008