Organization
HOPE LIFE AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS RICHARD ITTENBACH PT (SOLE MBR)
(843) 715-4146
Entity
Organization
Contact information
Practice address
60 MAIN ST UNIT G, HILTON HEAD ISLAND, SC 29926-6603
(843) 715-4146
(843) 715-4673
Mailing address
60 MAIN ST UNIT G, HILTON HEAD ISLAND, SC 29926-6603
(843) 715-4146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4852
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548360472
—
SC
Enumeration date
08/20/2017
Last updated
01/31/2018
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