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Organization
WERE ALL WONDERS
Active
Organization
WERE ALL WONDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRECIOUS SALAZAR (PRESIDENT)
(559) 940-9061
Entity
Organization
Contact information
Practice address
1629 S LIVE OAK DR, MONCKS CORNER, SC 29461-7230
(843) 879-8471
Mailing address
237 LUCCA DR, SUMMERVILLE, SC 29486-8416
(559) 940-9061
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
NULL
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225800000X
Recreation Therapist
—
NULL
225800000X
Recreation Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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