| NPI | 1285059527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON PHYSICAL VAUGHN Physical Therapist 803-351-9906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 6367) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-03-05 |