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NPI Code Detail

MEDICARE: EASTERN REHAB SERVICES LLC

MEDICARE: EASTERN REHAB SERVICES 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
1225200000XPhysical Therapy Assistant1008SC

General Provider Information

NPI Number : 1245282391
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTERN REHAB SERVICES LLC
Provider Business Mailing Address
First Line : 1273 REMOUNT RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-3439
Country : US
Telephone Number : 843-747-2888
Fax Number : 843-747-2888
Provider Business Practice Location Address
First Line : 1273 REMOUNT RD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-3439
Country : US
Telephone Number : 843-747-2888
Fax Number : 843-747-2888
Authorized Official
Title or Position : OWNER
Name : MR. RONALD KERRY WHITE
Credential :
Telephone Number : 843-200-1878
Provider Enumeration Date : 05/17/2006
Last Update Date : 01/19/2022

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Directions to “EASTERN REHAB SERVICES LLC ” Practice Location

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