| NPI | 1033170550 |
|---|---|
| Former Legal Business Name | PHYSICIANS REHABILITATION GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID W PEGRAM Owner 803-732-5887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2021-12-07 |