| NPI | 1679865851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIMA N DALAL Owener 803-359-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |