Organization
CHARLESTON PHYSICAL THERAPY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN M. SWYGERT P.T, (PRESIDENT/CO-OWNER)
(843) 763-4115
Entity
Organization
Contact information
Practice address
1730B SAVANNAH HWY, CHARLESTON, SC 29407-6255
(843) 763-4115
(843) 766-3240
Mailing address
1730B SAVANNAH HWY, CHARLESTON, SC 29407-6255
(843) 763-4115
(843) 766-3240
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A202
MEDICARE PART B
SC
Enumeration date
06/18/2006
Last updated
10/05/2011
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