Healthcare Provider Details

I. General information

NPI: 1437792082
Provider Name (Legal Business Name): THERAPY CENTERS OF SOUTH CAROLINA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2019
Last Update Date: 10/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1393 CELANESE RD
ROCK HILL SC
29732-1722
US

IV. Provider business mailing address

5080 SPECTRUM DR STE 1200W
ADDISON TX
75001-4624
US

V. Phone/Fax

Practice location:
  • Phone: 803-329-3103
  • Fax:
Mailing address:
  • Phone: 972-364-8083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT G HASSETT
Title or Position: VICE PRESIDENT
Credential: DO
Phone: 972-364-8000