| NPI | 1740006600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA TOLL Speech Language Pathologist 864-210-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |