Organization
SUMMERVILLE PHYSICAL THERAPY & BALANCE REHABILITATION FOR ADULTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P BRUNGO P.T. (OWNER/MEMBER/PHYSICAL THERAPIST)
(843) 209-6375
Entity
Organization
Contact information
Practice address
679 ORANGEBURG ROAD, SUITE D, SUMMERVILLE, SC 29483
(843) 209-6375
(843) 225-0348
Mailing address
679 ORANGEBURG ROAD, SUITE D, SUMMERVILLE, SC 29483
(843) 209-6375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4850
SC
Other
Enumeration date
03/17/2016
Last updated
01/25/2019
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