| NPI | 1700933066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S MASSEY Owner 803-920-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 1095) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-10-19 |