| NPI | 1063907731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY JOSEPH VINETTE Owner 843-790-4093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-01-23 |