| NPI | 1053204198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA JORDAN Practice Admin 864-457-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |