NPI | 1689010308 |
---|---|
Doing Business As | GOOSE CREEK PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JENNIFER MCQUILLEN Credentialing 864-482-0064 |
Organization Subpart ? | Yes |
Primary Taxonomy | 273Y00000X Rehabilitation Unit |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2013-05-21 |
Last Update Date | 2016-03-09 |