| NPI | 1871716514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY WALDROP Director 803-276-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 2102) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-04-02 |