| NPI | 1376637454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN SALAMANCA STO.DOMINGO President 843-910-4093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 2466) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-05-01 |