Organization
PROAXIS THERAPY SC, LLC
Active
Other names
ATI Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
(630) 296-2222
Entity
Organization
Contact information
Practice address
5046 HIGHWAY 17 BP S, STE 201, MYRTLE BEACH, SC 29588-4503
(843) 668-4329
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(864) 528-5701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/20/2012
Last updated
04/14/2016
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