| NPI | 1871031641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER NELSON Physical Therapist 864-270-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: SC 4054) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-03-30 |