NPI | 1366453003 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCES P. JOHNSON Co Owner/Physical Therapist 843-899-5374 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 767) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 1202) |
225X00000X Occupational Therapist (Licence: SC 2237) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2012-09-07 |