| NPI | 1255565172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DICENZO Principal 843-763-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 485) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist (Licence: SC 1469) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |