Senior Rehab Source

NPI #1043464118 in Spartanburg, South Carolina

Provider Information

NPI Number: 1043464118
Entity Type: Organization
Organization Name: Senior Rehab Source
Primary Specialty: Physical Therapist
Enumeration Date: Nov 15, 2008
Last Updated: Mar 26, 2009

Practice Location

Address: 2902 E MAIN STREET EXT
City: Spartanburg
State: South Carolina
ZIP Code: 29307-1252
Phone: (864) 266-3536

Authorized Official

Name: CHRIS HOFFMAN
Title: PRESIDENT
Phone: (864) 266-3536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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