NPI | 1972485019 |
---|---|
Entity Type | Organization |
Authorized Contact | ALIECE CHRISTOPHER Doctor Of Physical Therapy 803-574-9905 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2025-07-21 |
Last Update Date | 2025-07-21 |