| NPI | 1659085793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLEY CHRISLEY COSTIN Owner 803-569-8913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-03-29 |