# COMMUNITY REHAB AND PHYSICAL THERAPY, PA

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

## Provider details

- **NPI number:** 1972547743
- **Authorized official:** LOUISE K PEARCE PHYSICAL THERAPIST (PRESIDENT)
- **Authorized official phone:** (843) 347-2970

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2629 | SC | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 10/10/2011