| NPI | 1134468127 |
|---|---|
| Doing Business As | VITAL ENERGY PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | SUZY SHAY Office Mgr 803-359-1551 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |