NPI | 1063553949 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE BAXTER Credentialing 864-482-0064 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
261QR0400X Clinic/Center, Rehabilitation | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2012-07-02 |