Organization
INDIVIDUALIZED PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOY ROBIN LEE MHS, RPT (CEO)
(864) 232-6982
Entity
Organization
Contact information
Practice address
25 WOODS LAKE RD, SUITE 709, GREENVILLE, SC 29607-6125
(864) 232-6982
(864) 232-6983
Mailing address
25 WOODS LAKE RD, SUITE 709, GREENVILLE, SC 29607-6125
(864) 232-6982
(864) 232-6983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2540
SC
Other
Enumeration date
05/08/2006
Last updated
08/22/2020
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