| NPI | 1447969977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWN THOMAS BRIDGES Owner 803-400-3829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2022-11-23 |