Provider Demographics
NPI:1811472467
Name:FLOWERTOWN PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:FLOWERTOWN PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:843-810-9179
Mailing Address - Street 1:911 CENTRAL AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-3791
Mailing Address - Country:US
Mailing Address - Phone:843-970-7000
Mailing Address - Fax:843-970-7021
Practice Address - Street 1:911 CENTRAL AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-3791
Practice Address - Country:US
Practice Address - Phone:843-970-7000
Practice Address - Fax:843-970-7021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-29
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty