| NPI | 1295922284 |
|---|---|
| Doing Business As | TIDELANDS HEALTH PEDIATRIC REHABILITATION SERVICES AT GEORGETOWN |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH S. WARD Executive Vice President/CFO 843-527-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2019-04-18 |