| NPI | 1245554104 |
|---|---|
| Other Name | LOWCOUNTRY THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | JESSI LEE FUSTOS Owner 732-762-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist (Licence: SC 4245) | |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2022-07-29 |