| NPI | 1356039226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY J JONES Director Of Operations 803-290-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 103T00000X Psychologist | |
| 133N00000X Nutritionist | |
| 224Z00000X Occupational Therapy Assistant | |
| 183500000X Pharmacist | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| 213E00000X Podiatrist | |
| 225200000X Physical Therapy Assistant | |
| 225A00000X Music Therapist | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist, | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-05-08 |