Organization
ENGAGE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA DEFEE (CO-FOUNDER)
(803) 261-4965
Entity
Organization
Contact information
Practice address
108 OVERLOOK DR, BLYTHEWOOD, SC 29016-9100
(803) 261-4965
Mailing address
108 OVERLOOK DR, BLYTHEWOOD, SC 29016-9100
(803) 261-4965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
02/22/2019
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