# THERAPYWORKS 4 KIDS, LLC

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

## Provider details

- **NPI number:** 1700150570
- **Authorized official:** CORRIE LONG PT (OWNER)
- **Authorized official phone:** (803) 548-9113

## Contact information

- **Practice address:** 1162 FORT MILL HWY STE A, INDIAN LAND, SC 29707-7698
- **Practice address phone:** (803) 548-9113
- **Practice address fax:** (803) 548-9116
- **Mailing address:** 1162 FORT MILL HWY STE A, INDIAN LAND, SC 29707-7698
- **Mailing address phone:** (803) 548-9113
- **Mailing address fax:** (803) 548-9116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 02/26/2012
- **Last updated:** 02/26/2012