| NPI | 1033150214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARGAN ERVIN Director Of Administration & Client 843-293-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |