Organization
LAVA PHYSICAL THERAPY AT MEDICAL PAVILION
Active
Other names
LAVA PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DIXON (OWNER)
(843) 338-0520
Entity
Organization
Contact information
Practice address
25 HOSPITAL CENTER BLVD STE 106, HILTON HEAD ISLAND, SC 29926-2735
(843) 689-5282
(843) 689-5280
Mailing address
25 HOSPITAL CENTER BLVD STE 106, HILTON HEAD ISLAND, SC 29926-2735
(843) 689-5282
(843) 689-5280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4351
SC
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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