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General NPI Number Information
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NPI Number | 1275690596
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY CENTER LLC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 20 PALMETTO PKWY SUITE F
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2433
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Country | US
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Telephone | 843-681-5900
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Fax | 843-681-5901
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Provider Business Mailing Address
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Address Line | 20 PALMETTO PKWY SUITE F
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-2433
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Country | US
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Telephone | 843-681-5900
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Fax | 843-681-5901
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SANDRA DORION
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Credential | PT
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Telephone | 843-681-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 5031
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License Number State | SC
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