Provider Demographics
NPI:1639452840
Name:VISITING REHABILITATION ASSOCIATES OF CHARLESTON, LLC
Entity Type:Organization
Organization Name:VISITING REHABILITATION ASSOCIATES OF CHARLESTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:ZINS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:843-693-4783
Mailing Address - Street 1:2193 SANDY POINT LN
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-8770
Mailing Address - Country:US
Mailing Address - Phone:843-693-4783
Mailing Address - Fax:843-769-7288
Practice Address - Street 1:2193 SANDY POINT LN
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-8770
Practice Address - Country:US
Practice Address - Phone:843-693-4783
Practice Address - Fax:843-769-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty