Individual
TORI LEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 TAYLOR ST, COLUMBIA, SC 29201-3451
(803) 410-5483
Mailing address
1634 TAYLOR ST, COLUMBIA, SC 29201-3451
(803) 410-5483
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6027
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1674
—
SC
Enumeration date
07/12/2016
Last updated
11/30/2023
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