| NPI | 1700255056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS HEATON President 864-399-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: SC 3187) |
| 235Z00000X Speech-Language Pathologist, | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2016-09-25 |