Organization
DYNAMIC PHYSICAL THERAPY & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN SALAMANCA STO.DOMINGO PT (PRESIDENT)
(843) 910-4093
Entity
Organization
Contact information
Practice address
2307 E HIGHWAY 76, MARION, SC 29571-6351
(843) 423-4888
(843) 423-4849
Mailing address
PO BOX 1864, GREENVILLE, SC 29602-1864
(864) 331-0919
(864) 331-0922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2466
SC
Other
Enumeration date
10/03/2006
Last updated
05/01/2008
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