Organization
JUST PEACHY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HEATON (OWNER)
(864) 320-1973
Entity
Organization
Contact information
Practice address
222 LADEAN CT STE E, SIMPSONVILLE, SC 29680-7504
(864) 399-6423
Mailing address
222 LADEAN CT STE E, SIMPSONVILLE, SC 29680-7504
(864) 399-6423
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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