OrganizationActive
Dynamic Development, LLC
NPI 1700079977 · Pediatric Physical Therapist · Florence, SC
Provider details
- NPI number
- 1700079977
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Shannon Wyont, President(843) 230-2715
- License
- 2106 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2461 S Hallmark Dr
Florence, SC 29505-3911
Phone: (843) 230-2715
Fax: (843) 662-1236
Approximate (ZIP-level) locationGet directions
Mailing address
2461 S Hallmark Dr
Florence, SC 29505-3911
Registry dates
- Enumerated
- 2007-08-21
- Last updated
- 2007-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.