| NPI | 1437416773 |
|---|---|
| Doing Business As | LAVA PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | NATHAN DIXON Owner 843-842-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4351) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |