Organization
MONCKS CORNER PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES P. JOHNSON (CO-OWNER/PHYSICAL THERAPIST)
(843) 899-5374
Entity
Organization
Contact information
Practice address
209 W MAIN ST, MONCKS CORNER, SC 29461-2604
(843) 899-5374
(843) 899-5376
Mailing address
209 W MAIN ST, MONCKS CORNER, SC 29461-2604
(843) 899-5374
(843) 899-5376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1202
SC
225100000X
Physical Therapist
Primary
767
SC
225X00000X
Occupational Therapist
2237
SC
Other
Enumeration date
08/10/2006
Last updated
09/07/2012
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