Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION INC
Active
Other names
Island Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BAXTER (CREDENTIALING)
(864) 482-0064
Entity
Organization
Contact information
Practice address
300 NEW RIVER PKWY, SUITE 40, HARDEEVILLE, SC 29927-4450
(843) 208-2727
(843) 208-2728
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
05/14/2010
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