Organization
RIVERTOWN LYMPHEDEMA CLINIC AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANDREW KINCHELOE OTR/L, CLT (OWNER/ADMINISTRATOR)
(843) 742-5701
Entity
Organization
Contact information
Practice address
100 PRATHER PARK DR, SUITE A, MYRTLE BEACH, SC 29588-7910
(843) 742-5701
(843) 742-5704
Mailing address
100 PRATHER PARK DR, SUITE A, MYRTLE BEACH, SC 29588-7910
(843) 742-5701
(843) 742-5704
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
06/24/2009
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