| NPI | 1588053250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY E GINDI Owner 803-802-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 5224) |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-06-11 |