Organization
LOW COUNTRY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE SHOUP (INSURANCE SPECIALIST/CREDENTIALING)
(843) 651-6565
Entity
Organization
Contact information
Practice address
2586 S HIGHWAY 17 UNIT C&D, MURRELLS INLET, SC 29576-6605
(843) 651-6565
(843) 651-6575
Mailing address
2586 HIGHWAY 17 SOUTH, UNIT C&D, GARDEN CITY BEACH, SC 29576-6605
(843) 651-6565
(843) 651-6575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4329
—
SC
Enumeration date
07/08/2006
Last updated
03/12/2020
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