| NPI | 1619168879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA BURGESS P.T. 803-622-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 4461) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |