| NPI | 1750042974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA HEIDENREICH Owner, CEO 843-267-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| 224Z00000X Occupational Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |