| NPI | 1174774186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE M BROWN Practice Administrator 803-802-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |