| NPI | 1457604142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENS FRANZEN Owner 843-376-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 2773) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2014-12-09 |