| NPI | 1083359632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA FARINAS DE LUEBKE Owner 843-345-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-05-02 |