| NPI | 1700212420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER JOHNSON GOFF Coowner 803-433-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5485) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 4166) |
| 225200000X Physical Therapy Assistant (Licence: SC 1236) | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2025-08-12 |