| NPI | 1215434931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD HOOVER Manager 843-814-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 16596) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |