| NPI | 1275939894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KILGUS Physical Therapist 803-937-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 6954) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2015-12-09 |