Organization
GRACE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DUNCAN (BUSINESS MANAGER)
(843) 871-3522
Entity
Organization
Contact information
Practice address
440 UNIT D OLD TROLLEY ROAD, SUMMERVILLE, SC 29485
(843) 871-3522
(843) 871-3523
Mailing address
440 UNIT D OLD TROLLEY ROAD, SUMMERVILLE, SC 29485
(843) 871-3522
(843) 871-3523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3858
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5224
—
SC
Enumeration date
06/07/2007
Last updated
09/12/2022
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