| NPI | 1548323520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY PRIGANC Owner 843-903-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: SC 3841) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |