| NPI | 1720308596 |
|---|---|
| Doing Business As | FUNDAMENTALS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH DOYLE NOBLES Owner 843-358-1457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 2209) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |