Healthcare Provider Details

I. General information

NPI: 1578657581
Provider Name (Legal Business Name): FRANK SANTANGELO P.T., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 COLEMAN BLVD
MT PLEASANT SC
29464-4018
US

IV. Provider business mailing address

295 SEVEN FARMS DR SUITE C-135
DANIEL ISLAND SC
29492-8001
US

V. Phone/Fax

Practice location:
  • Phone: 843-881-7999
  • Fax: 843-881-7988
Mailing address:
  • Phone: 843-881-7999
  • Fax: 843-881-7988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number814
License Number StateSC

VIII. Authorized Official

Name: FRANCIS ALFRED SANTANGELO II
Title or Position: PHYSICAL THERAPIST/DIRECTOR
Credential: P.T.
Phone: 843-881-7999