| NPI | 1104086651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI LAUREN WHITSITT Physical Therapist 843-270-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 5588) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |