| NPI | 1316749567 |
|---|---|
| Former Legal Business Name | SMA SLP, LLC |
| Entity Type | Organization |
| Authorized Contact | STACEY MARIE AILES Speech Language Pathologist 803-260-8489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-08-02 |