| NPI | 1154472975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MARIE BOORMAN Owner 843-797-5167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 5201) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2026-07-15 |