Organization
CRESCENT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KILGUS DPT (PHYSICAL THERAPIST)
(803) 937-5489
Entity
Organization
Contact information
Practice address
1180 BOULEVARD STREET, SUITE D, ORANGEBURG, SC 29116
(803) 937-5489
(803) 937-5492
Mailing address
PO BOX 2909, ORANGEBURG, SC 29116-2909
(803) 937-5489
(803) 937-5492
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6954
SC
Other
Enumeration date
11/10/2014
Last updated
12/09/2015
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