Organization
ATLAS PHYSICAL THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JIMAKI ROACH PT (OWNER)
(843) 364-2612
Entity
Organization
Contact information
Practice address
1166 CAMP CREEK RD, LANCASTER, SC 29720-8558
(803) 804-0440
Mailing address
1708 WHITE FAWN LN, ROCK HILL, SC 29730-6388
(843) 364-2612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4579
SC
Other
Enumeration date
01/06/2018
Last updated
02/26/2019
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