| NPI | 1912147711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BUCHHOLZ Owner/PT 803-315-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: SC 4799) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-09 |