| 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 |