| NPI | 1063870681 |
|---|---|
| Doing Business As | LAVA PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | NATHAN DIXON Owner 843-338-0520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 4351) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |