NPI 1003276049
Longevity PT
Practice location
- Address
- 5524 Gallatin Ln, N Charleston, SC 29420-6803
- Phone
- (843) 906-7169
Authorised official
- Name
- Dale L Kukla
- Title
- Owner/Physical Therapist
- Phone
- (843) 906-7169
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1003276049
- Entity type
- Organization
- NPI issued
- 3 Mar 2016
- Record last updated
- 3 Mar 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.