Organization
EAST COOPER WELLNESS
Active
Parent organization
WEST ASHLEY WELLNESS & REHABILITATION, LLC
Other names
EAST COOPER WELLNESS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST ASHLEY WELLNESS & REHABILITATION, LLC
Authorized official
KAREN LUCKIE (OFFICE MANAGER)
(843) 571-3100
Entity
Organization
Contact information
Practice address
1965 RIVIERA DR, MT PLEASANT, SC 29464-7469
(843) 571-3100
(843) 766-7798
Mailing address
3741 TIDELAND DR, JOHNS ISLAND, SC 29455-7456
(843) 425-4694
(843) 766-7798
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
23765
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962726117
NPI FOR WEST ASHLEY WELLNESS & REHABILITATION, LLC
SC
Enumeration date
07/10/2014
Last updated
09/11/2014
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