Organization
MAGNOLIA NETWORK, LLC
Active
Other names
Dillon Physical Tehrapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MONTES (PHYSICAL THERAPIST)
(843) 627-0121
Entity
Organization
Contact information
Practice address
517 RADFORD BOULEVARD, SUITE A, DILLON, SC 29536-2469
(843) 627-0121
(843) 627-0122
Mailing address
517 RADFORD BOULEVARD, SUITE A, DILLON, SC 29536-2469
(843) 627-0121
(843) 627-0122
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3232
SC
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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