Organization
LANCASTER PHYSICAL THERAPY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN SALAMANCA STO.DOMINGO PT (PRESIDENT)
(803) 313-9300
Entity
Organization
Contact information
Practice address
1025 W MEETING ST, SUITE 106, LANCASTER, SC 29720-2204
(803) 313-9300
(803) 313-9305
Mailing address
1025 W MEETING ST, SUITE 106, LANCASTER, SC 29720-2204
(803) 313-9300
(803) 313-9305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3732
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3547
—
SC
Enumeration date
07/03/2006
Last updated
08/22/2020
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