| NPI | 1013399534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ST CLAIR Managing/Member, Physical Therapist 843-697-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 6210) |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2015-06-20 |