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NPI Code Detail

MEDICARE: DRAYER PHYSICAL THERAPY - SOUTH CAROLINA, LLC

MEDICARE: DRAYER PHYSICAL THERAPY - SOUTH CAROLINA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1548839418
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRAYER PHYSICAL THERAPY - SOUTH CAROLINA, LLC
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 2440 AUGUSTA HWY STE A
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-2247
Country : US
Telephone Number : 803-769-3301
Fax Number : 803-767-4920
Authorized Official
Title or Position : CFO
Name : BRYAN BARGANIER
Credential :
Telephone Number : 205-536-7602
Provider Enumeration Date : 06/23/2021
Last Update Date : 06/23/2021

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Directions to “DRAYER PHYSICAL THERAPY - SOUTH CAROLINA, LLC ” Practice Location

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