Organization
EASTERN REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD KERRY WHITE (OWNER)
(843) 200-1878
Entity
Organization
Contact information
Practice address
1273 REMOUNT RD, N CHARLESTON, SC 29406-3439
(843) 200-1878
(843) 688-5821
Mailing address
1273 REMOUNT RD, N CHARLESTON, SC 29406-3439
(843) 200-1878
(843) 688-5821
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
949
SC
225200000X
Physical Therapy Assistant
Primary
1008
SC
225X00000X
Occupational Therapist
4905
SC
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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