| NPI | 1124385489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L TAYLOR Sole Member 864-230-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 4735) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |