| NPI | 1487779013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT V LAMANNA Owner 843-238-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC MD2155) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SC 1791) |
| 111N00000X Chiropractor (Licence: SC 1707) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-05-12 |