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Organization

DYNAMIC PHYSICAL THERAPY & REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRACY CARBONEL (BILLING MANAGER)
(864) 331-0919
Entity
Organization

Contact information

Practice address
9789 CHARLOTTE HWY, SUITE 500, FORT MILL, SC 29715-7177
(803) 548-5022
(803) 548-5023
Mailing address
PO BOX 1864, GREENVILLE, SC 29602-1864
(864) 331-0919
(864) 331-0922

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
06/13/2007
Last updated
07/24/2008
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