Organization
SOUTH AIKEN PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN VINCENT DALY PT (OWNER)
(803) 649-9797
Entity
Organization
Contact information
Practice address
681 SILVER BLUFF RD STE A, AIKEN, SC 29803-4707
(803) 649-9797
(803) 642-2759
Mailing address
681 SILVER BLUFF RD STE A, AIKEN, SC 29803-4707
(803) 649-9797
(803) 642-2759
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1405058
BCBS
TN
01
—
DF9050
RAILROAD MEDICARE
—
05
—
GP4564
—
SC
Enumeration date
04/17/2007
Last updated
12/18/2007
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