Organization
DRAYER PHYSICAL THERAPY - SOUTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VICE PRESIDENT OF REVENUE CYCLE)
(423) 238-2313
Entity
Organization
Contact information
Practice address
135 BLYTHEWOOD RD STE J, BLYTHEWOOD, SC 29016-8426
(803) 851-1037
(803) 851-1820
Mailing address
135 BLYTHEWOOD RD STE J, BLYTHEWOOD, SC 29016-8426
(803) 851-1037
(803) 851-1820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/06/2019
Last updated
05/20/2019
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