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Organization

COMMUNITY REHAB AND PHYSICAL THERAPY, PA

Active
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Organization

COMMUNITY REHAB AND PHYSICAL THERAPY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOUISE K PEARCE PHYSICAL THERAPIST (PRESIDENT)
(843) 347-2970
Entity
Organization

Contact information

Practice address
117 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8902
(843) 347-2970
(843) 347-2975
Mailing address
117 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8902
(843) 347-2970
(843) 347-2975

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2629
SC

Other

Enumeration date
06/15/2006
Last updated
10/10/2011
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