Organization
LITTLE HEROES THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE DEVINE DPT (PHYSICAL THERAPIST)
(404) 245-9981
Entity
Organization
Contact information
Practice address
171 LARISSA DR, CHARLESTON, SC 29414-9204
(404) 245-9981
Mailing address
1957 IVY HALL RD, CHARLESTON, SC 29407-3523
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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