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NPI Code Detail

MEDICARE: SANDY BROOKS CARR PT

MEDICARE: SANDY BROOKS CARR PT
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
1225100000XPhysical Therapist2264SC

General Provider Information

NPI Number : 1205813235
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDY BROOKS CARR PT
Provider Business Mailing Address
First Line : 1011 GROVE RD
Second Line : SUITE A2
City : GREENVILLE
State : SC
Zip : 29605-4660
Country : US
Telephone Number : 864-232-4908
Fax Number : 864-232-4728
Provider Business Practice Location Address
First Line : 1011 GROVE RD
Second Line : SUITE A2
City : GREENVILLE
State : SC
Zip : 29605-4660
Country : US
Telephone Number : 864-232-4908
Fax Number : 864-232-4728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 10/09/2007

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Directions to “ SANDY BROOKS CARR PT” Practice Location

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