Organization
PEARL REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD KERRY WHITE (OWNER)
(843) 200-1878
Entity
Organization
Contact information
Practice address
1273 REMOUNT RD, N CHARLESTON, SC 29406-3439
(843) 747-2888
(843) 747-0001
Mailing address
1273 REMOUNT RD, N CHARLESTON, SC 29406-3439
(843) 747-2888
(843) 747-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
949
SC
225200000X
Physical Therapy Assistant
Primary
1008
SC
225X00000X
Occupational Therapist
3218
SC
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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