| NPI | 1417549940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SHUMATE President/Physical Therapist 843-409-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-02-05 |