| NPI | 1295976868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARONA OCASIO Physical Therapist 843-437-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5590) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |