| NPI | 1649634593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY TAYLOR Credentialing Specialist 843-569-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |