| NPI | 1275428732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINEE SORRELLS Speech Language Pathologist 843-229-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |