Organization
PREMIER PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL MARIE BOORMAN BS PT (OWNER)
(843) 797-5167
Entity
Organization
Contact information
Practice address
1238 YEAMANS HALL RD STE 4, HANAHAN, SC 29410-2790
(843) 797-5167
(843) 797-5723
Mailing address
1238 YEAMANS HALL RD STE 4, HANAHAN, SC 29410-2790
(843) 797-5167
(843) 797-5723
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5201
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP-3587
—
SC
Enumeration date
01/16/2007
Last updated
07/15/2026
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