| NPI | 1265571558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY MCKENZIE Owner 843-394-9799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4703) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 1113) |
| 225200000X Physical Therapy Assistant (Licence: SC 177) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2025-09-11 |