| NPI | 1427087113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN SALAMANCA STO.DOMINGO President 843-857-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 2899) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 3280) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |