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Organization

LONG BAY REHAB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE SHELTON P.T. (PARTNER)
(843) 293-5610
Entity
Organization

Contact information

Practice address
4871 SOCASTEE BLVD UNIT E, MYRTLE BEACH, SC 29588-7252
(843) 293-5610
(843) 293-5690
Mailing address
PO BOX 220, CHAPIN, SC 29036-0220
(843) 293-5610
(843) 293-5690

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3584
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3715
SC
Enumeration date
11/17/2006
Last updated
11/16/2007
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