Organization
HARTSVILLE PHYSICAL THERAPY & REHABILITATION CENTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN SALAMANCA STO.DOMINGO PT (PRESIDENT)
(843) 857-4343
Entity
Organization
Contact information
Practice address
107 N 8TH ST, HARTSVILLE, SC 29550-4105
(843) 857-4343
(843) 857-4345
Mailing address
107 N 8TH ST, HARTSVILLE, SC 29550-4105
(843) 857-4343
(843) 857-4345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2899
SC
225100000X
Physical Therapist
3280
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3924
—
SC
Enumeration date
07/03/2006
Last updated
08/22/2020
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