Organization
CAROLINA PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY PRIGANC (OWNER)
(843) 903-2742
Entity
Organization
Contact information
Practice address
538 WILD HORSE CT, MYRTLE BEACH, SC 29579-7577
(843) 903-2742
Mailing address
538 WILD HORSE CT, MYRTLE BEACH, SC 29579-7577
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3841
SC
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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