NPI | 1861441016 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN L. SMITH Owner/President 864-316-1536 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 294) |
Enumeration Date | 2006-05-07 |
Last Update Date | 2007-12-24 |