Organization
NOVANT HEALTH PHYSICAL THERAPY LLC
Active
Other names
Novant Health Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LEEA JEANINE WALTON (RCS MANAGER)
(336) 515-7085
Entity
Organization
Contact information
Practice address
1510 RIBAUT RD, PORT ROYAL, SC 29935-1403
(843) 524-3241
(843) 322-3240
Mailing address
PO BOX 749303, ATLANTA, GA 30374-9303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/26/2024
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