| NPI | 1225081730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RYAN LOCKE Executive Director 803-939-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |