| NPI | 1215941513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD JOSEPH SCIBILIA Owner Therapist 843-327-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 3301) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 3301) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: SC 3301) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-04-23 |