Provider Demographics
NPI:1447536727
Name:LEAH HAMOY LLC
Entity type:Organization
Organization Name:LEAH HAMOY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMOY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:843-292-1900
Mailing Address - Street 1:1021 CHERAW ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BENNETTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29512-2422
Mailing Address - Country:US
Mailing Address - Phone:843-454-0911
Mailing Address - Fax:843-454-0910
Practice Address - Street 1:2724 W PALMETTO ST
Practice Address - Street 2:SUITE 2
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4909
Practice Address - Country:US
Practice Address - Phone:843-292-1900
Practice Address - Fax:843-292-1902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty