| NPI | 1679502363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN SALAMANCA STO.DOMINGO President 803-313-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 3732) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-08-22 |