Organization
OMNI PHYSICAL THERAPY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA KEZIAH SHUMATE MPT (PHYSICAL THERAPIST)
(843) 409-1620
Entity
Organization
Contact information
Practice address
1015 NANDINA ST, HARTSVILLE, SC 29550-3931
(843) 409-1620
(843) 841-2482
Mailing address
1015 NANDINA ST, HARTSVILLE, SC 29550-3931
(843) 409-1620
(843) 841-2482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4705
SC
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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