| NPI | 1013573849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW TUBIS Owner 843-779-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2023-05-24 |