Individual ProviderLisa M DelkPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address101 Centennial Blvd, Goose Creek, SC 29445-7079(843) 764-0544PECOS EnrollmentBased on the most recent information from CMS, provider Lisa M Delk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1376732446Provider TypeIndividualFull NameDelk, Lisa MCredentialPTGenderFemaleSole ProprietorNoEnumeration Date10/15/2007Last Updated10/15/2007Contact InformationPractice LocationPractice Address101 Centennial Blvd, Goose Creek, SC 29445-7079Phone(843) 764-0544FaxUnlisted FaxMailing LocationMailing Address2222 Sullivan Trl, Easton, PA 18040-7958PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1723South Carolina