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DUCKETT PHYSICAL THERAPY & SPORTS REHAB CENTER NPI 1720176241


NPI Information

NPI: 1720176241
Provider Name: DUCKETT PHYSICAL THERAPY & SPORTS REHAB CENTER
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1620 BROUGHTON ST.
ORANGEBURG, SC
ZIP 29115
Phone: (803) 534-4050
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DUCKETT PHYSICAL THERAPY & SPORTS REHAB CENTER is a specialist in Orangeburg, 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. DUCKETT PHYSICAL THERAPY & SPORTS REHAB CENTER NPI is 1720176241. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1620 BROUGHTON ST.
ORANGEBURG, SC
ZIP 29115
Phone: (803) 534-4050
Fax: (803) 534-0408

The provider's authorized official is Dwayne M. Duckett .
The authorized official title is Owner/director and has the following contact phone number (803) 534-4050.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 8/22/2020.


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
1174400000XSpecialist1458SOUTH 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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