MEDICARE: COMPREHENSIVE PHYSICAL THERAPY & REHAB

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1659428324
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE PHYSICAL THERAPY & REHAB

Provider Business Mailing Address
First Line	:	1943 GLENNS BAY RD
Second Line	:
City	:	SURFSIDE BEACH
State	:	SC
Zip	:	29575-4833
Country	:	US
Telephone Number	:	843-650-1162
Fax Number	:	843-650-1174

Provider Business Practice Location Address
First Line	:	1943 GLENNS BAY RD
Second Line	:
City	:	SURFSIDE BEACH
State	:	SC
Zip	:	29575-4833
Country	:	US
Telephone Number	:	843-650-1162
Fax Number	:	843-650-1174

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANTHONY COREY PERELLA
Credential	:	DPT
Telephone Number	:	843-650-1162

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	04/29/2008

Similar Medicare Providers

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Practice Location Address:

1947 GLENNS BAY RD
SURFSIDE BEACH, SC
29575-4833

Practice Phone: 843-650-7171
Practice Fax:

1295798767 — JEFF L. EGGART M.D.
Practice Location Address:

1945 GLENNS BAY RD
SURFSIDE BEACH, SC
29575-4833

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1124086913 — DR. ANTHONY COREY PERELLA DPT
Practice Location Address:

1943 GLENNS BAY RD
SURFSIDE BEACH, SC
29575-4833

Practice Phone: 843-650-1162
Practice Fax: 843-650-1174

1114977394 — MR. TIMOTHY WILLIAM LOEBS
Practice Location Address:

1945 GLENNS BAY RD
SURFSIDE BEACH, SC
29575-4833

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1801992433 — TAMMY STRICKLAND MELGAR PA-C
Practice Location Address:

1945 GLENNS BAY RD
SURFSIDE BEACH, SC
29575-4833

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1922121177 — DR. NEDA AZADIVATAN-LE D.D.S.
Practice Location Address:

1947 GLENNS BAY RD
SURFSIDE BEACH, SC
29575-4833

Practice Phone: 843-650-7171
Practice Fax: 843-650-7173

Directions to “COMPREHENSIVE PHYSICAL THERAPY & REHAB ” Practice Location

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