| NPI | 1669766341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEA BOYKIN Speech Pathologist 803-271-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 3951) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |