Organization
ROOTS PEDIATRIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY BOBLETT GRIFFITH PT (PHYSICAL THERAPIST)
(336) 288-6330
Entity
Organization
Contact information
Practice address
3083 VINCENT ASTOR DRIVE, JOHN'S ISLAND, SC 29455-8279
(336) 288-6330
Mailing address
3083 VINCENT ASTOR DRIVE, JOHN'S ISLAND, SC 29455-8279
(336) 288-6330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH5083
—
SC
Enumeration date
08/29/2024
Last updated
05/19/2025
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