Organization
COMMUNITY REHAB AND PHYSICAL THERAPY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE K PEARCE PHYSICAL THERAPIST (PRESIDENT)
(843) 347-2970
Entity
Organization
Contact information
Practice address
117 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8902
(843) 347-2970
(843) 347-2975
Mailing address
117 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8902
(843) 347-2970
(843) 347-2975
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2629
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1450
—
SC
Enumeration date
06/15/2006
Last updated
10/10/2011
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