Organization
INTEGRATIVE THERAPY AND PERFORMANCE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON WAYNE SERAFINO PT, DPT, FAAOMPT (OWNER)
(574) 309-1427
Entity
Organization
Contact information
Practice address
534 RIVER CROSSING DR STE 101, FORT MILL, SC 29715-7900
(803) 792-7367
Mailing address
268 RUNNER STONE LN, FORT MILL, SC 29715-2543
(574) 309-1427
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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