| NPI | 1629037411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L WILLIAMS Office Mgr 803-432-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: SC 5032) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-10-15 |