Organization
CAROLINA PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATE C STANTON (ADMINISTRATOR)
(803) 980-4900
Entity
Organization
Contact information
Practice address
129 HAMPTON ST, ROCK HILL, SC 29730
(803) 980-4900
(803) 980-4902
Mailing address
129 HAMPTON ST, ROCK HILL, SC 29730
(803) 980-4900
(803) 980-4902
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2716
—
SC
Enumeration date
11/09/2006
Last updated
08/22/2020
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