Organization
CORA SOUTH CAROLINA LLC
Active
Other names
CORA Physical Therapy - Moss Creek
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD ROUSH (EXEC VP)
(419) 221-6712
Entity
Organization
Contact information
Practice address
15 MOSS CREEK VLG, HILTON HEAD, SC 29926-1105
(843) 836-7003
(419) 222-0507
Mailing address
PO BOX 150, LIMA, OH 45802-0150
(419) 221-6717
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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