NPI | 1326006222 |
---|---|
Doing Business As | SPORTS PLUS |
Entity Type | Organization |
Authorized Contact | CHARLEEN FITZGERALD Credentialing 864-482-0064 |
Organization Subpart ? | Yes |
Primary Taxonomy | 273Y00000X Rehabilitation Unit |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 222) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2014-11-17 |