Organization
PALMETTO ORTHO & SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PHILLIP VAHJEN PT (OWNER/PHYSICAL THERAPIST)
(864) 223-0900
Entity
Organization
Contact information
Practice address
234 BIRCHTREE DR, GREENWOOD, SC 29649-1502
(864) 223-0900
(864) 223-0902
Mailing address
234 BIRCHTREE DR, GREENWOOD, SC 29649-1502
(864) 223-0900
(864) 223-0902
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4484
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4244
—
SC
Enumeration date
01/19/2006
Last updated
12/03/2008
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