| NPI | 1750828364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY JARRARD Biller 843-568-4786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2023-07-17 |