# TRINITY PEDIATRIC THERAPY GROUP

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

## Provider details

- **NPI number:** 1447612395
- **Authorized official:** DR. TIFFANY D SCOTT PHD, CCC-SLP (SPEECH PATHOLOGIST)
- **Authorized official phone:** (864) 423-1317

## Contact information

- **Practice address:** 120 BELLEMERE PL, PIEDMONT, SC 29673-6903
- **Practice address phone:** (404) 751-7373
- **Mailing address:** 120 BELLEMERE PL, PIEDMONT, SC 29673-6903
- **Mailing address phone:** (404) 751-7373

## 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 | 5017 | SC | Yes |

## Other

- **Enumeration date:** 03/21/2016
- **Last updated:** 03/21/2016
