| NPI | 1629155023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS LESLIE LUCAS Lead Physical Therapist 864-229-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 4489) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-01-22 |