Organization
SPECIALTY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA M FLINT DPT (THERAPIST/OWNER)
(843) 651-7513
Entity
Organization
Contact information
Practice address
325 WELLNESS DR, MYRTLE BEACH, SC 29579-6708
(843) 650-4461
(843) 903-6109
Mailing address
P O BOX 1356, MURRELLS INLET, SC 29576
(843) 650-4461
(843) 692-3094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
SC3892
SC
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1084
—
SC
Enumeration date
04/18/2007
Last updated
11/16/2023
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