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Contact Information

CRESCENT PHYSICAL THERAPY LLC
1180 BOULEVARD STREET
SUITE D
ORANGEBURG, SC29116
 Phone: 803-937-5489
 Fax: 803-937-5492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for CRESCENT PHYSICAL THERAPY LLC

NPI Number 1275939894
LBN Legal business name CRESCENT PHYSICAL THERAPY LLC
Authorized official CHRISTOPHER KILGUS - (PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2014
Last updated 12/09/2015 - About 10 years ago
Identifiers
SC License # 6954
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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