| NPI | 1427575091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CANCIENNE Owner 843-718-2683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2026-01-28 |