| NPI | 1356544415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA DUNCAN Business Manager 843-871-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 3858) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2022-09-12 |