NPI | 1346859881 |
---|---|
Doing Business As | WAVE PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JONATHAN DAVID BLACKWELL Owner 843-437-8184 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-07-30 |