Organization
SUMTER PHYSICAL THERAPY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP DEAN LOWE PT (PARTNER)
(843) 662-1234
Entity
Organization
Contact information
Practice address
1185 WILSON HALL RD, SUMTER, SC 29150-1842
(803) 469-3213
(803) 469-3233
Mailing address
507 W CHEVES ST, FLORENCE, SC 29501-4449
(843) 662-1234
(843) 669-7144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1010723
SC
225X00000X
Occupational Therapist
1010723
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2145
—
SC
Enumeration date
05/04/2006
Last updated
07/23/2012
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