Organization
PHYSICAL REHABILITATION GROUP
Active
Parent organization
PHYSICAL REHABILITATION GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICAL REHABILITATION GROUP, LLC
Authorized official
DAVID PEGRAM PT (OWNER)
(803) 732-5887
Entity
Organization
Contact information
Practice address
2608 MAIN ST UNIT A, CONWAY, SC 29526-3760
(803) 732-5887
(803) 732-5997
Mailing address
PO BOX 3408, IRMO, SC 29063-4015
(803) 732-5887
(803) 732-5997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/02/2015
Last updated
12/07/2021
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