| NPI | 1306253406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA C LONG President 843-614-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5126) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 3200) |
| 225X00000X Occupational Therapist (Licence: SC 4082) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-11-30 |