Organization
NORTH GROVE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH ANN FRONEBERGER PT (MANAGER)
(864) 585-8474
Entity
Organization
Contact information
Practice address
1330 BOILING SPRINGS RD, SUITE 1600B, SPARTANBURG, SC 29303-4201
(864) 582-0019
(864) 582-2160
Mailing address
1330 BOILING SPRINGS RD, SUITE 1600B, SPARTANBURG, SC 29303-4201
(864) 582-0019
(864) 582-2160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
569
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8636
SC MEDICARE PROVIDER #
SC
01
—
DF4478
SC RAILROAD PROVIDER #
SC
Enumeration date
08/21/2006
Last updated
06/06/2008
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