| NPI | 1639460330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNN PRIGANC Physical Therapist 843-455-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 3841) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 2608) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-05-01 |