Individual
SAMUEL ENGEBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2418 NNPTC CIRCLE, GOOSE CREEEK, SC 29445
(843) 577-5011
Mailing address
109 BEE STREET, REHAB MED. 117, CHARLESTON, SC 29401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18819
NC
225100000X
Physical Therapist
—
NC
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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