Organization
MOBILITY WORKS THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD FISHER (MEMBER)
(631) 512-3125
Entity
Organization
Contact information
Practice address
1258 FORK RETCH CT, MULLINS, SC 29574-5959
(631) 512-3125
(843) 353-0167
Mailing address
1258 FORK RETCH CT, MULLINS, SC 29574-5959
(631) 512-3125
(843) 353-0167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4366
SC
225100000X
Physical Therapist
6280
SC
225200000X
Physical Therapy Assistant
1780
SC
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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