| NPI | 1639347487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA RENISE YOUNG Owner 803-736-1759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 1811) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |