Organization
ISLAND PHYSICAL THERAPY
Active
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION
Authorized official
DEBBIE BAXTER (CREDENTIALING)
(864) 482-0064
Entity
Organization
Contact information
Practice address
300 NEW RIVER PKWY, SUITE 40, HARDEEVILLE, SC 29927-4450
(843) 208-2727
(843) 208-2728
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
12/03/2009
Last updated
12/04/2009
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