| NPI | 1568627826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER IRVIN Speech Language Pathologist 803-548-5089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3900) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 3365) |
| 225X00000X Occupational Therapist (Licence: SC 3568) | |
| 225X00000X Occupational Therapist (Licence: SC 3067) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 4163) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 3493) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 3712) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 4366) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 4473) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2010-09-01 |