Provider Demographics
NPI:1366851560
Name:LOW COUNTRY THERAPEUTIC CONSULTANTS LLC
Entity Type:Organization
Organization Name:LOW COUNTRY THERAPEUTIC CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SLOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:843-991-3200
Mailing Address - Street 1:2061 ASHBURTON WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-6877
Mailing Address - Country:US
Mailing Address - Phone:843-991-3200
Mailing Address - Fax:
Practice Address - Street 1:2061 ASHBURTON WAY
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-6877
Practice Address - Country:US
Practice Address - Phone:843-991-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty