| NPI | 1104068774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON G. BALDERSON Speech Pathologist 843-224-7869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3352) |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2009-03-29 |