Organization
IN SHAPE PHYSICAL THERAPY & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA BURGESS (P.T.)
(803) 622-6540
Entity
Organization
Contact information
Practice address
5432A AUGUSTA RD., LEXINGTON, SC 29072-3892
(803) 622-6540
Mailing address
5432A AUGUSTA RD., LEXINGTON, SC 29072-3892
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4461
SC
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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