PALMETTO CHILDREN'S THERAPY LLC NPI 1477503613

NPI Details

PALMETTO CHILDREN'S THERAPY, LLC is a pediatrics physical therapist in Awendaw, SC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. PALMETTO CHILDREN'S THERAPY, LLC NPI is 1477503613. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

856 GRANNYS LN
AWENDAW, SC
ZIP 29429-060
Phone: (843) 259-4633
Fax: (843) 388-4498

The provider's authorized official is Jill Kelley Beasenburg .
The authorized official title is Pt/owner and has the following contact phone number (843) 259-4633.

The CLIA number assigned to this NPI record is 42D1072657 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/10/2006 and was last updated on 5/3/2019.

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:

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