| NPI | 1891178018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNMARIE LEAHY Owner 843-300-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2021-07-21 |