| NPI | 1790742880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN DENNEHY-JENNINGS Owner 843-222-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MA 10730) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 3495) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 1784) | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |