| NPI | 1679739908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ALAN HARBERT O PT Ician/Owner 843-795-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |