| NPI | 1376593798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK HERRON Com PT Roller 803-641-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation |
| 163WS0200X Registered Nurse School | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 347B00000X Bus | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |