NPI | 1205258423 |
---|---|
Doing Business As | SPORTS PLUS WOODSIDE |
Entity Type | Organization |
Authorized Contact | STUART HUNTER Owner 864-482-0064 |
Organization Subpart ? | Yes |
Primary Taxonomy | 273Y00000X Rehabilitation Unit |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2014-01-07 |
Last Update Date | 2014-11-17 |