| NPI | 1902566912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY FUNDERBURK BRIGMAN Speech Language Pathologist 803-393-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2021-12-19 |
| Last Update Date | 2023-05-04 |