| NPI | 1043374838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA BEAN Owner 803-648-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2025-09-11 |