| NPI | 1578101994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI JACKSON HOWARD President 864-809-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |