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.
|Practice Location|| 1000 Pine St W, Varnville, SC 29944-4750, US |
|Practice Location Phone||803-942-0532|
|Practice Location Fax|
|Legal Business Name||CAROLINA PEDIATRIC THERAPY SERVICES, LLC|
|Enumeration Date ? ||Nov 2, 2016|
|Last Update Date ? ||Nov 2, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Carolina Pediatric Therapy Services, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Speech-Language Pathologist||Speech, Language and Hearing Service Providers|| ||5345||South Carolina|
Legacy Provider IDs of Carolina Pediatric Therapy Services, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||OWNER/SPEECH LANGUAGE PATHOLOGIST|
|Authorized Official Phone Number||803-942-0532|