| NPI | 1235197914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BENJAMIN VISSER President 864-574-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-03-09 |