NPI | 1770955882 |
---|---|
Former Legal Business Name | BBN PHYSICAL THERAPY, INC |
Entity Type | Organization |
Authorized Contact | KRISTOPHER WAYNE WINDERS President 843-991-8333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 006708) |
Enumeration Date | 2015-10-28 |
Last Update Date | 2016-05-10 |