Organization
PERSONAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA C BROWN PT (OWNER)
(864) 871-1478
Entity
Organization
Contact information
Practice address
823 S OLD FAIRVIEW RD, FOUNTAIN INN, SC 29644-9726
(864) 871-1478
(864) 243-2428
Mailing address
823 S OLD FAIRVIEW RD, FOUNTAIN INN, SC 29644-9726
(864) 871-1478
(864) 243-2428
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1607
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3917
—
SC
Enumeration date
02/19/2006
Last updated
05/30/2013
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