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NPI Code Detail

MEDICARE: FIRST PHYSICAL THERAPY LLC

MEDICARE: FIRST PHYSICAL THERAPY 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
1261QR0400XRehabilitation Clinic/CenterFL

General Provider Information

NPI Number : 1679513030
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : PO BOX 150
Second Line :
City : LIMA
State : OH
Zip : 45802-0150
Country : US
Telephone Number : 419-221-6717
Fax Number : 419-222-0507
Provider Business Practice Location Address
First Line : 108 PALMETTO PARK BLVD STE B
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-7969
Country : US
Telephone Number : 803-359-2323
Fax Number : 803-359-2331
Authorized Official
Title or Position : EXECUTIVE VICE PRESDENT
Name : STEPHEN KRZYMINSKI
Credential :
Telephone Number : 419-221-6717
Provider Enumeration Date : 06/07/2006
Last Update Date : 10/24/2023

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Directions to “FIRST PHYSICAL THERAPY LLC ” Practice Location

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