| NPI | 1578629101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN O. BEAUCHAMP Staff Physical Therapist. 864-231-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC SC 1986) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |