| NPI | 1548242381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNE PRICE JONES Owner 803-796-7421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 2495) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 4245) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 1304) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-08-22 |