Foundation Physical Therapy, LLC
NPI #1124743331 in Greenville, South Carolina
Provider Information
- NPI Number
- 1124743331
- Entity Type
- Organization
- Organization Name
- Foundation Physical Therapy, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 10, 2022
- Last Updated
- Jul 16, 2024
Practice Location
- Address
- 12 WAITE ST STE B1
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29607-3226
- Phone
- (864) 380-8946
Authorized Official
- Name
- SAMUEL COLLINS JACKSON, DPT
- Title
- OWNER/PROVIDER
- Phone
- (864) 380-8946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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