| NPI | 1750579561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MARIE BISH Owner 843-594-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 231H00000X Audiologist | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2021-03-30 |