| NPI | 1619483310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA REGAN Owner/Physical Therapist 803-413-2759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 2634) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |