| NPI | 1184025678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MCNALLY President 803-543-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 2285) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |