| NPI | 1801120233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH G. HARVEY Owner 843-412-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: SC 4477) |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech (Licence: SC 2208) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2011-09-08 |