| NPI | 1407974405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY BIRNIE Managing Member 843-884-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 1042) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-01-07 |