Individual
TYRONE RICHARD DELMONICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
95 MATHEWS DR, STE D5, HILTON HEAD, SC 29926-3734
(843) 681-5640
(843) 681-5631
Mailing address
95 MATHEWS DR, STE D5, HILTON HEAD, SC 29926-3734
(843) 681-5640
(843) 681-5631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4665
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187344
MEDCOST PROVIDER NUMBER
SC
01
—
P00179664
RAILROAD PROVIDER NUMBER
SC
01
—
P00640591
RAILROAD PTAN
SC
Enumeration date
06/17/2006
Last updated
03/27/2013
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