| NPI | 1275530503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLEEN FITZGERALD Credentialing 864-482-0064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2014-11-17 |