Organization
CHARLESTON ORTHOPEDICS AND SPORTS PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN CORREIA (OWNER/PT)
(843) 364-7206
Entity
Organization
Contact information
Practice address
3401 SALTERBECK ST STE 104, MOUNT PLEASANT, SC 29466-7168
(843) 364-7206
Mailing address
1321 CROWN REACH, MOUNT PLEASANT, SC 29466-7921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
01/06/2023
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