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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