| NPI | 1700538337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ROBINSON Owner/Physical Therapist 803-201-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |