NPI | 1386150613 |
---|---|
Doing Business As | PIVOTAL HEALTH AND REHAB |
Entity Type | Organization |
Authorized Contact | RYAN WAYNE BOWERS Owner 803-254-4699 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 111N00000X Chiropractor |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2017-12-22 |
Last Update Date | 2023-09-06 |