NPI | 1043374838 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA BEAN Owner 803-648-4360 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2006-12-19 |
Last Update Date | 2020-08-22 |