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 |