| NPI | 1700844578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A HETHERINGTON Owner 843-986-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC SC2123) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2011-09-22 |