NPI | 1245303643 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA HEYBOER Owner Physical Therapist 843-266-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 3876) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 2183) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2007-10-12 |