| NPI | 1346635752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK RYAN OTOOLE Owner 803-309-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: SC 3877) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2017-04-20 |