| NPI | 1912063967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH H FINLEY Owner 864-342-0180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 3564) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5102) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2013-01-16 |