NPI 1972511129

Omni Physical Therapy,inc.

Organisation Specialist Hartsville, SC

Practice location

Address: 1015 Nandina St, Hartsville, SC 29550-3931
Phone: (843) 409-1620
Fax: (843) 841-2482

Authorised official

Name: Melissa Keziah Shumate
Title: Physical Therapist
Phone: (843) 409-1620

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4705 (SC)

Other Specialist providers in South Carolina →

Registry record

NPI: 1972511129
Entity type: Organization
NPI issued: 4 Aug 2006
Record last updated: 22 Aug 2020

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.