| NPI | 1427093749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE DURHAM Co Owner/Manager 843-569-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2016-11-09 |