# SPECIALISTS IN PEDIATRIC THERAPY LLC

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

## Provider details

- **NPI number:** 1679997621
- **Authorized official:** CHARLENE LENKER MS OTR/L (OWNER)
- **Authorized official phone:** (803) 238-5447

## Contact information

- **Practice address:** 1087 HARBOR DR, SUITE C, WEST COLUMBIA, SC 29169-3609
- **Practice address phone:** (803) 238-5447
- **Mailing address:** PO BOX 291567, COLUMBIA, SC 29229-0027
- **Mailing address phone:** (803) 238-5447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 1233 | SC | Yes |

## Other

- **Enumeration date:** 02/11/2014
- **Last updated:** 02/11/2014