| NPI | 1801865399 |
|---|---|
| Doing Business As | INDIGO PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | EDGAR J. KLIXBULL Partner 843-357-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 5347) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-05-21 |