| NPI | 1932276805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COYLE Owner 843-769-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |