| NPI | 1245241041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MART Owner 843-375-5448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-04-18 |