Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Active
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Other names
Mount Pleasant Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION
Authorized official
JENNIFER MCQUILLEN (BILLING)
(864) 482-0064
Entity
Organization
Contact information
Practice address
1909 N HIGHWAY 17, SUITE Q, MT PLEASANT, SC 29464-7459
(843) 416-9026
(843) 531-6223
Mailing address
1909 N HIGHWAY 17, SUITE Q, MT PLEASANT, SC 29464-7459
(843) 416-9026
(843) 531-6223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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