Organization
FORT MILL SPINE AND SPORTS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIKRI SOUSSI (OWNER)
(803) 547-9800
Entity
Organization
Contact information
Practice address
1096 ASSEMBLY DR STE 310, FORT MILL, SC 29708-6450
(803) 547-9800
Mailing address
1096 ASSEMBLY DR STE 310, FORT MILL, SC 29708-6450
(803) 547-9800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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