| NPI | 1245786797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA C. KOLVITES Owner 864-293-3281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: MS PT6066) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-09-06 |