Organization
NORTHBRIDGE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN RAGSDALE KING PHYSICAL THERAPISTPT (OWNER NORTHBRIDGE PT)
(843) 343-5108
Entity
Organization
Contact information
Practice address
1350 ASHLEY RIVER RD, SUITE B, CHARLESTON, SC 29407-5373
(843) 571-0877
(843) 571-0844
Mailing address
PO BOX 31833, CHARLESTON, SC 29417-1833
(843) 571-0877
(843) 571-0844
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1319
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982741963
PERSONAL NPI
SC
Enumeration date
02/19/2008
Last updated
03/07/2008
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