| NPI | 1851638266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KEISLER Credentialing Supervisor 803-758-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: SC 1925) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |