| NPI | 1518162767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JEFFREY POOLE (Owner)President,Vice President 843-679-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 1098) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |