| NPI | 1609832781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP DEAN LOWE Owner/Manager 843-662-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 050428) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-03-21 |