| NPI | 1972560670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN EDWARD DIXON Physical Therapist/Owner 843-842-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2008-04-24 |