| NPI | 1669489910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON CRAIG DUFFIE Onwer/Physical Therapist 843-406-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC PT3683) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC PT5322) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-04-10 |