| NPI | 1457380123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDIE M STO DOMINGO PT 843-454-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-09-16 |