Organization
DEFORD REHAB CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DEFORD MD (OWNER)
(312) 262-6434
Entity
Organization
Contact information
Practice address
305 ISLAND PARK DR, DANIEL ISLAND, SC 29492-7301
(843) 764-3500
(843) 553-0914
Mailing address
26 WOODFORD ST, DANIEL ISLAND, SC 29492-8046
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
04/24/2025
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