| NPI | 1659560670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA WORKMAN PT 3 843-573-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 1213) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |