| NPI | 1275363442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BELLAVIA President 843-839-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2024-08-03 |
| Last Update Date | 2024-08-03 |