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Organization
MT. PLEASANT PEDIATRIC SPEECH THERAPY, LLC
Active
Organization
MT. PLEASANT PEDIATRIC SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNMARIE LEAHY (OWNER)
(843) 300-2812
Entity
Organization
Contact information
Practice address
3550 STOCKTON DR, MT PLEASANT, SC 29466-7028
(843) 300-2812
Mailing address
3550 STOCKTON DR, MT PLEASANT, SC 29466-7028
(843) 300-2812
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376822452
—
SC
Enumeration date
07/07/2015
Last updated
07/21/2021
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