Organization
SENIOR REHAB SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HOFFMAN (PRESIDENT)
(864) 266-3536
Entity
Organization
Contact information
Practice address
2902 E MAIN STREET EXT, SPARTANBURG, SC 29307-1252
(864) 266-3536
Mailing address
2902 E MAIN STREET EXT, SPARTANBURG, SC 29307-1252
(864) 266-3536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4711
SC
Other
Enumeration date
11/15/2008
Last updated
03/26/2009
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