Organization
BLUE RIDGE PHYSICAL THERAPY, LLC
Active
Other names
Blue Ridge Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN GILLIAM DPT (OWNER, PHYSICAL THERAPIST)
(843) 532-1339
Entity
Organization
Contact information
Practice address
111 MOCCASIN RUN, SUNSET, SC 29685-2507
(843) 532-1339
Mailing address
111 MOCCASIN RUN, SUNSET, SC 29685-2507
(843) 532-1339
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
09/06/2023
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