National Provider Identifier Database

COASTAL CAROLINA PHYSICAL REHAB INC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

COASTAL CAROLINA PHYSICAL REHAB INC
235 SINGLETON RIDGE RD
SUITE 108
CONWAY, SC29526
Phone: 843-347-4175
Fax: 843-347-4179
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for COASTAL CAROLINA PHYSICAL REHAB INC

NPI Number 1932344454
Legal business name
LBN
COASTAL CAROLINA PHYSICAL REHAB INC
Authorized official MAYRA ALFONSO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/12/2008
Last updated 12/12/2008 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: MD21577
  • Other: MD21577 SC MEDICAL LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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