Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Active
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Other names
Clemson PT & Spine Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION
Authorized official
CHARLEEN FITZGERALD (CREDENTIALING)
(864) 482-0064
Entity
Organization
Contact information
Practice address
35 BILL FRIES DR, BUILDING K, HILTON HEAD ISLAND, SC 29926-2730
(843) 342-3012
(843) 342-9768
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
04/18/2016
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