| NPI | 1700626520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY LATRELL STEGALL Owner/Physical Therapist 803-201-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |