| NPI | 1609211671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIAO LAN NGUYEN Secretary 803-634-6982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 6979) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-07-23 |