Organization
OFF THE BLOCK PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIA E JACKS PT, DPT (OWNER/ PHYSICAL THERAPIST)
(864) 561-5493
Entity
Organization
Contact information
Practice address
125 ARBORS CT, CENTRAL, SC 29630-3700
(864) 561-5493
Mailing address
125 ARBORS CT, CENTRAL, SC 29630-3700
(864) 561-5493
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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