Organization
CENTRUM THERAPY SERVICES LLC
Active
Other names
Centrum Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN PRATER PT (OWNER)
(864) 993-6304
Entity
Organization
Contact information
Practice address
104 MALLORY DR, GOOSE CREEK, SC 29445-6406
(843) 996-1471
(843) 808-6986
Mailing address
PO BOX 1119, GOOSE CREEK, SC 29445-1119
(843) 996-1471
(843) 808-6986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/29/2022
Last updated
09/02/2025
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