| NPI | 1952491490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEE BALLEW Owner/Director 803-788-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 1888) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-12-04 |