Basic Information
| Provider Information | |||||||||
| NPI: | 1578629101 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANMED HEALTH REHAB PLUS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1203 STONEHURST DR | ||||||||
| Address2: | |||||||||
| City: | ANDERSON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296212948 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8642613966 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2000 E GREENVILLE ST | ||||||||
| Address2: | SUITE 3900 | ||||||||
| City: | ANDERSON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296211580 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8642312874 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BEAUCHAMP | ||||||||
| AuthorizedOfficialFirstName: | VIVIAN | ||||||||
| AuthorizedOfficialMiddleName: | O. | ||||||||
| AuthorizedOfficialTitleorPosition: | STAFF PHYSICAL THERAPIST. | ||||||||
| AuthorizedOfficialTelephone: | 8642312874 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | RPT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | SC 1986 | SC | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.