Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION INC
Active
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.
Other names
Island Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.
Authorized official
DEBBIE BAXTER (CREDENTIALING)
(864) 482-0064
Entity
Organization
Contact information
Practice address
35 BILL FRIES DR, BUILDING K, HILTON HEAD ISLAND, SC 29926-2730
(843) 342-3012
(843) 342-9768
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
04/25/2012
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