Ih3 Physcial Therapy

NPI 1104145697 - Clinic/Center - 261QP2000X

NPI Details
NPI 1104145697
Enumeration Date 05/23/2010
Last Updated 06/18/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARY MARY
Position DIRECTOR
Phone (843) 374-0185
Fax (843) 374-0189
Practice Location
148 SAULS ST
LAKE CITY SC, 29560-2631, US
Phone (843) 374-0185
Fax (843) 374-0189
Business Location
148 SAULS ST
LAKE CITY SC, 29560-2631, US
Phone (843) 374-0185
Fax (843) 374-0189
Toxanomy
Taxonomy Code 261QP2000X
License State South Carolina
License Number 5740
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According to our database, Ih3 Physcial Therapy NPI is 1104145697, taxonomy code is 261QP2000X and license number is 5740, license state is located at South Carolina. Ih3 Physcial Therapy physically located at 148 Sauls St, Lake City SC, 29560-2631. NPI Number 1033115704 has the healthcare provider type.

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1104145697 NPI number is provided on an as is basis without warranty of any kind. 1104145697 is maintained by the National Plan & Provider Enumeration System. The contents of Ih3 Physcial Therapy are for informational purposes only.