| NPI | 1174201743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BRUNSON FOSTER Co Owner 843-455-9668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |