NPI | 1831729185 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTA ANDERSON POMERLYAN Owner/ Provider 864-205-3754 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
225100000X Physical Therapist | |
225200000X Physical Therapy Assistant | |
225X00000X Occupational Therapist | |
Enumeration Date | 2020-01-24 |
Last Update Date | 2022-02-01 |