NPI 1073721973

Balemba Kubuanu, PTA

Practitioner Physical Therapy Assistant Charleston, SC

Practice location

Address: 1941 Savage Rd Suite 400c, Charleston, SC 29407-4704
Phone: (843) 571-2700
Mailing address: 11419 Erwin Ridge Ave, Charlotte, NC 28213-4866

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 698 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1242 (NC)

Registry record

NPI: 1073721973
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2007
Record last updated: 8 Jul 2007

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.