Organization
BALLENTINE REHABILITATION & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES AUGUSTUS RESS PT (PT)
(803) 732-0815
Entity
Organization
Contact information
Practice address
1000 MARINA RD, SUITE C, IRMO, SC 29063
(803) 732-0815
(803) 732-0816
Mailing address
PO BOX 302, BALLENTINE, SC 29002-0302
(803) 732-0815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
630
SC
Other
Enumeration date
06/18/2007
Last updated
08/24/2007
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