Organization
PEE DEE PHYSICAL THERAPY, INC.
Active
Organization
PEE DEE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL KIRBY WALTER RPT (PHYSICAL THERAPIST OWNER)
(843) 374-7378
Entity
Organization
Contact information
Practice address
414 WEST MAIN ST, LAKE CITY, SC 29560
(843) 374-7378
(843) 374-7379
Mailing address
PO BOX 608, 414 WEST MAIN ST, LAKE CITY, SC 29560
(843) 374-7378
(843) 374-7379
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3314
—
SC
Enumeration date
07/06/2006
Last updated
12/29/2011
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