| NPI | 1942515481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNIETH DOUGLAS ALLEN Executive Director 803-226-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 171R00000X Interpreter |
| 2251P0200X Physical Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-09-27 |