| NPI | 1588977862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH WILLIAMSON Credentialing Specialist 843-804-9479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2023-05-12 |