| NPI | 1700150570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRIE LONG Owner 803-548-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2012-02-26 |
| Last Update Date | 2012-02-26 |