| NPI | 1396395679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ALPHONSO ELMORE Mgrm/ CEO 803-378-6295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |