Organization
REIGNITE PERSONAL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DABBO DPT (OWNER)
(843) 608-9323
Entity
Organization
Contact information
Practice address
2045 COPPER CREEK CT, MYRTLE BEACH, SC 29579-4175
(843) 608-9323
(843) 628-4873
Mailing address
2045 COPPER CREEK CT, MYRTLE BEACH, SC 29579-4175
(843) 608-9323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
12/05/2022
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