| NPI | 1679124358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN FRANCES DAVIDSON Owner 803-784-2464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2020-11-03 |