| NPI | 1417818204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYSSEKA CAMPBELL-GEORGE Owner 803-716-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 208000000X Pediatrics |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |