| NPI | 1427626316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN HOPE THOMAS Speech Language Pathologist 803-413-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-07-19 |