| NPI | 1245282391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD KERRY WHITE Owner 843-200-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 1008) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-01-19 |