Organization
PERSONAL CARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD JOSEPH SCIBILIA DPT (OWNER THERAPIST)
(843) 327-6278
Entity
Organization
Contact information
Practice address
19 ARROWHEAD HALL, JOHNS ISLAND, SC 29455
(843) 327-6278
Mailing address
19 ARROWHEAD HALL, PERSONAL CARE PHYSICAL THERAPY, JOHNS ISLAND, SC 29455
(843) 327-6278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3301
SC
2251X0800X
Orthopedic Physical Therapist
3301
SC
261QP2000X
Physical Therapy Clinic/Center
3301
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3301
LICENSE NUMBER
SC
05
—
GP3978
—
SC
Enumeration date
07/29/2006
Last updated
04/23/2015
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