| NPI | 1649233024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA GRASSHOFF President 843-621-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 2963) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: SC 804) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 2270) | |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2014-05-29 |