Forever Young Mobile Physical Therapy LLC
Physical Medicine & Rehabilitation in North Myrtle Beach, SC. Organization (NPI-2).
NPI number1295502011
StatusActive
Last updated in NPPESDec 12, 2023
Details
- NPI
- 1295502011
- Entity type
- Organization (NPI-2)
- Legal business name
- Forever Young Mobile Physical Therapy LLC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2023
- Certification date
- Dec 11, 2023
- Last updated
- Dec 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
2268 Little River Neck RdNorth Myrtle Beach, SC 29582-6265
Phone 910-239-7834
Mailing address
1109 James Island AveNorth Myrtle Beach, SC 29582-6979
Phone 910-239-7834
Authorized official
Jodi Barnes Young
Owner
9102397834
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