| NPI | 1306074885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANDREW KINCHELOE Owner/Administrator 843-742-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-24 |