NPI | 1346454709 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON BECKHAM Credentialing Coordinator 843-884-7880 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-05-09 |
Last Update Date | 2010-06-28 |