Organization
BREAKTHROUGH SC LLC
Active
Other names
Your Life Wellness & Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HATHAWAY DPT (CEO)
(919) 388-0111
Entity
Organization
Contact information
Practice address
7580 CHARLOTTE HWY STE 1100, FORT MILL, SC 29707-7803
(803) 548-5662
(803) 548-5635
Mailing address
981 HIGH HOUSE RD STE 100, CARY, NC 27513-3510
(919) 377-8744
(502) 473-9310
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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