Marlboro Physical Therapy | |
1021 Cheraw St, Bennettsville, SC 29512-2422 | |
(843) 454-9000 | |
(843) 454-9001 |
Full Name | Marlboro Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1021 Cheraw St, Bennettsville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457380123 | NPI | - | NPPES |
TH1257 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | Judie M Sto Domingo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326073685 PECOS PAC ID: 2163426180 Enrollment ID: I20061204000074 |
Mailing Address | Practice Location Address |
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Marlboro Physical Therapy 1021 Cheraw St, Bennettsville, SC 29512-2422 Ph: (843) 454-9000 | Marlboro Physical Therapy 1021 Cheraw St, Bennettsville, SC 29512-2422 Ph: (843) 454-9000 |
Division Of Special Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 922 Broad Street, Bennettsville, SC 29512 Phone: 843-454-2038 Fax: 843-479-9680 | |
Judie M Sto Domingo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1021 Cheraw Street, Bennettsville, SC 29512 Phone: 843-454-9000 Fax: 843-454-9001 | |
Jackilyn Marie Kleckner, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Jefferson St, Bennettsville, SC 29512 Phone: 843-479-5936 | |
Ms. Winninah Camania Calderon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1021 Cheraw St, Bennettsville, SC 29512 Phone: 843-454-9000 Fax: 843-454-9001 | |
Heidi Christensen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Matheson St, Bennettsville, SC 29512 Phone: 843-454-2038 Fax: 843-479-9680 |