| NPI | 1770637639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RENA STEVENS Physical Therapist 864-610-9641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4278) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-10-24 |