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NPI Code Detail

MEDICARE: HEALTHPRO HERITAGE REHAB & FITNESS, LLC

MEDICARE: HEALTHPRO HERITAGE REHAB & FITNESS, 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
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1730695065
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHPRO HERITAGE REHAB & FITNESS, LLC
Provider Business Mailing Address
First Line : 536 OLD HOWELL RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-1969
Country : US
Telephone Number : 864-244-3626
Fax Number :
Provider Business Practice Location Address
First Line : 20 AUSTIN AVE OFC 1
Second Line :
City : GREENVILLE
State : RI
Zip : 02828-1449
Country : US
Telephone Number : 401-234-2353
Fax Number :
Authorized Official
Title or Position : DIRECTOR, LICENSING/CERTIFICATION
Name : JULIE MCGLASSON
Credential :
Telephone Number : 615-406-3997
Provider Enumeration Date : 12/22/2017
Last Update Date : 10/27/2025

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Directions to “HEALTHPRO HERITAGE REHAB & FITNESS, LLC ” Practice Location

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