| NPI | 1073102315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN RAE BROOKER Doctor Of Physical Therapy 843-478-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2024-03-22 |