# ENGAGE PEDIATRIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437661824
- **Authorized official:** MRS. LISA DEFEE (CO-FOUNDER)
- **Authorized official phone:** (803) 261-4965

## Contact information

- **Practice address:** 108 OVERLOOK DR, BLYTHEWOOD, SC 29016-9100
- **Practice address phone:** (803) 261-4965
- **Mailing address:** 108 OVERLOOK DR, BLYTHEWOOD, SC 29016-9100
- **Mailing address phone:** (803) 261-4965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2017
- **Last updated:** 02/22/2019