Organization
PREMIER PHYSCIAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA A MUELLER (PHYSICAL THERAPIST)
(843) 797-5167
Entity
Organization
Contact information
Practice address
2070 NORTHBROOK BLVD STE A10, NORTH CHARLESTON, SC 29406-9253
(843) 797-5167
Mailing address
2070 NORTHBROOK BLVD STE A10, NORTH CHARLESTON, SC 29406-9253
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
08/22/2020
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