| Omni Physical Therapy Inc | |
|
126 N Macarthur Ave, Dillon, SC 29536-3434 | |
| (843) 774-7462 | |
| (843) 841-2482 |
| Full Name | Omni Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 126 N Macarthur Ave, Dillon, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316097702 | NPI | - | NPPES |
| TH1381 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4705 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Physical Therapy Inc 1647 Ruby Rd, Hartsville, SC 29550-2407 Ph: (843) 409-1620 | Omni Physical Therapy Inc 126 N Macarthur Ave, Dillon, SC 29536-3434 Ph: (843) 774-7462 |
Mrs. Ava Guevarra, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 N Macarthur Ave, Dillon, SC 29536 Phone: 843-774-7462 Fax: 843-841-2482 | |
Vicki Godbold, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 W Harrison St, Dillon, SC 29536 Phone: 843-774-7132 Fax: 843-841-2482 |