| NPI | 1336376581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PAUL SKORPUT Owner 843-423-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 318) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |