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Organization
LOWCOUNTRY THERAPY CENTER, LLC
Active
Organization
LOWCOUNTRY THERAPY CENTER, LLC
Active
Other names
Lowcountry Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSI LEE FUSTOS MA, CCC-SLP (OWNER)
(732) 762-5572
Entity
Organization
Contact information
Practice address
254 RED CEDAR STREET, SUITE 9, BLUFFTON, SC 29910-8967
(843) 970-2899
(843) 815-6998
Mailing address
PO BOX 2421, BLUFFTON, SC 29910-8967
(843) 970-2899
(843) 815-6998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
4245
SC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/22/2010
Last updated
07/29/2022
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