Provider Demographics
NPI:1396932950
Name:DAYSPRING THERAPEUTIC SERVICES, P.C.
Entity type:Organization
Organization Name:DAYSPRING THERAPEUTIC SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:WOODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:843-817-6145
Mailing Address - Street 1:PO BOX 13885
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29422-3885
Mailing Address - Country:US
Mailing Address - Phone:843-817-6145
Mailing Address - Fax:
Practice Address - Street 1:1645 RAOUL WALLENBERG BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3507
Practice Address - Country:US
Practice Address - Phone:843-817-6145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty