| NPI | 1972165041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA KATHLEEN MCCORMICK Billing & Credentiaing Manager 864-920-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |