NPI | 1174137426 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA GAY Owner 843-277-4072 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2020-09-03 |
Last Update Date | 2020-09-03 |