Organization
SOUTH CAROLINA LUNA CARE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOFFER DUGGAN (CEO)
(866) 806-3599
Entity
Organization
Contact information
Practice address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
(866) 806-3599
(833) 817-7128
Mailing address
PO BOX 2350, ROCKLIN, CA 95677-8350
(866) 806-3599
(833) 817-7128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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