Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Active
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Other names
Sports Plus
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION
Authorized official
STUART HUNTER (OWNER/PT)
(864) 482-0064
Entity
Organization
Contact information
Practice address
2880 TRICOM ST, SUITE B, NORTH CHARLESTON, SC 29406-9171
(843) 553-6343
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/26/2006
Last updated
11/17/2014
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