| NPI | 1467611756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LARY President 843-455-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2014-03-10 |