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Carolina Pediatric Therapy Services, Llc

Carolina Pediatric Therapy Services, Llc is a health care provider in Hampton, SC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1000 Pine St W, Varnville, SC 29944-4750, US
Practice Location Phone803-942-0532
Practice Location Fax
Legal Business NameCAROLINA PEDIATRIC THERAPY SERVICES, LLC
NPI ?1003368416
Entity TypeOrganization
Enumeration Date ? Nov 2, 2016
Last Update Date ? Nov 2, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Carolina Pediatric Therapy Services, Llc

SpecialtySpecializationLicenseLicense State
Speech-Language Pathologist 5345South Carolina

legacy-id-icon Legacy Provider IDs of Carolina Pediatric Therapy Services, Llc

Provider IdIssuer StateIssuer TypeIssuer
SA1505South CarolinaMedicaid

official-icon Authorized Official of Carolina Pediatric Therapy Services, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Carolina Pediatric Therapy Services, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Samantha Johnson (MA,CCC-SLP)
Authorized Official Title/PositionOWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official Phone Number803-942-0532