| NPI | 1467965194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD KERRY WHITE Owner 843-200-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 1008) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: SC 949) |
| 225X00000X Occupational Therapist (Licence: SC 4905) | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |