Organization
LIBERTY PHYSICAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GIAO LAN NGUYEN (SECRETARY)
(803) 634-6982
Entity
Organization
Contact information
Practice address
616 EDGEFIELD RD STE 150, NORTH AUGUSTA, SC 29841-6407
(803) 634-6982
Mailing address
616 EDGEFIELD RD STE 150, NORTH AUGUSTA, SC 29841-6407
(803) 634-6982
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6979
SC
Other
Enumeration date
05/06/2013
Last updated
07/23/2013
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