Organization
LOWCOUNTRY THERAPY CENTER, LLC
Active
Other names
Lowcountry Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSI LEE FUSTOS MA, CCC-SLP (OWNER)
(732) 762-5572
Entity
Organization
Contact information
Practice address
254 RED CEDAR STREET, SUITE 9, BLUFFTON, SC 29910-8967
(843) 970-2899
(843) 815-6998
Mailing address
PO BOX 2421, BLUFFTON, SC 29910-8967
(843) 970-2899
(843) 815-6998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
4245
SC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/22/2010
Last updated
07/29/2022
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