Longevity PT
Longevity PT is a Home Health Agency in N Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.
- Licensed in
- SC
- In the registry since
- 2016
Practice location Address checks out
5524 Gallatin LnN Charleston, SC 29420-6803
Phone: (843) 906-7169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X · Licence 4916 (SC) |
|---|
Record details
| NPI number | 1003276049 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dale Kukla — Owner/Physical Therapist · (843) 906-7169 |
| NPI enumerated | March 3, 2016 |
| Last updated in NPPES | March 3, 2016 |
| Mailing address | 5524 Gallatin Ln, N Charleston, SC 29420-6803 |
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