Organization
PEDIATRIC THERAPY CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRIE MCGILL (DIRECTOR)
(864) 483-2992
Entity
Organization
Contact information
Practice address
604 TWO GAIT LN, SIMPSONVILLE, SC 29680-6769
(864) 483-2992
(864) 757-9209
Mailing address
604 TWO GAIT LN, SIMPSONVILLE, SC 29680-6769
(864) 483-2992
(864) 757-9209
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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