| NPI | 1861057333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER EDELEN Revenue Cycle Manager 843-213-6149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |