| NPI | 1275048514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SEAY Owner 803-802-8593 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NC 10627) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 5842) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |