| NPI | 1386434074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIKRI SOUSSI Owner 803-547-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |