| NPI | 1194186213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P BRUNGO Owner/Member/Physical Therapist 843-209-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4850) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2019-01-25 |