Organization
SMITH PEDIATRIC THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER G SMITH MRS, CCC-SLP (SPEECH PATHOLOGIST)
(843) 763-8699
Entity
Organization
Contact information
Practice address
342 CROSS ST, CHARLESTON, SC 29407-6905
(843) 763-8699
Mailing address
342 CROSS ST, CHARLESTON, SC 29407-6905
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
3961
SC
Other
Enumeration date
01/27/2013
Last updated
01/27/2013
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