| NPI | 1295704534 |
|---|---|
| Former Legal Business Name | CAROLINA PEDIATRIC OCCUPATIONAL THERAPY CAROLINA PED THERAPY COOP INC |
| Entity Type | Organization |
| Authorized Contact | KATHERINE CARVETH STANTON Office Manager 803-980-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3399) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 430) |
| 225100000X Physical Therapist (Licence: SC 4746) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-08-22 |