| NPI | 1679621874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN MICHAEL BROWN Physical Therapist 843-861-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5186) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2020-08-22 |