| NPI | 1346507571 |
|---|---|
| Doing Business As | PETITE REHAB PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHERRI MCGRAW WICKER Owner 803-360-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 4836) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2021-06-09 |