Individual ProviderAlexander MitrovicPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address11107 Broad River Rd Ste T, Irmo, SC 29063-7602(803) 769-7909(423) 238-7217PECOS EnrollmentBased on the most recent information from CMS, provider Alexander Mitrovic 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 11:47 AM.Profile DetailsProvider ID1619715869Provider TypeIndividualFull NameMitrovic, AlexanderCredentialDPTGenderMaleSole ProprietorNoEnumeration Date7/19/2024Last Updated7/19/2024Contact InformationPractice LocationPractice Address11107 Broad River Rd Ste T, Irmo, SC 29063-7602Phone(803) 769-7909FaxUnlisted FaxMailing LocationMailing Address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424Phone(423) 238-7217FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12439South Carolina