Longevity Pt
NPI #1003276049 in N Charleston, South Carolina
Provider Information
- NPI Number
- 1003276049
- Entity Type
- Organization
- Organization Name
- Longevity Pt
- Primary Specialty
- Home Health
- Enumeration Date
- Mar 3, 2016
- Last Updated
- Mar 3, 2016
Practice Location
- Address
- 5524 GALLATIN LN
- City
- N Charleston
- State
- South Carolina
- ZIP Code
- 29420-6803
- Phone
- (843) 906-7169
Authorized Official
- Name
- DALE L KUKLA, P.T.
- Title
- OWNER/PHYSICAL THERAPIST
- Phone
- (843) 906-7169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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