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LAVA PHYSICAL THERAPY AT MEDICAL PAVILION NPI 1063870681


NPI Information

NPI: 1063870681
Provider Name: LAVA PHYSICAL THERAPY AT MEDICAL PAVILION

Doing Business As: LAVA PHYSICAL THERAPY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
25 HOSPITAL CENTER BLVD STE 106
HILTON HEAD ISLAND, SC
ZIP 29926
Phone: (843) 689-5282
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LAVA PHYSICAL THERAPY AT MEDICAL PAVILION is a specialist in Hilton Head Island, SC. The provider is 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. LAVA PHYSICAL THERAPY AT MEDICAL PAVILION NPI is 1063870681. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lava Physical Therapy.

The provider's business location address is:

25 HOSPITAL CENTER BLVD STE 106
HILTON HEAD ISLAND, SC
ZIP 29926-735
Phone: (843) 689-5282
Fax: (843) 689-5280

The provider's authorized official is Nathan Dixon .
The authorized official title is Owner and has the following contact phone number (843) 338-0520.

The enumeration date for this NPI number is 2/10/2016 and was last updated on 2/10/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist4351SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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