| NPI | 1093416802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ANDREWS Owner 803-530-2816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |