Organization
CAROLINA KIDS THERAPEUTIC INTERVENTIONS, LLC
Active
Organization
CAROLINA KIDS THERAPEUTIC INTERVENTIONS, LLC
Active
Other names
Carolina Kids
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE W HAYNES DPT (OWNER)
(803) 767-9737
Entity
Organization
Contact information
Practice address
454 BOOKMAN MILL RD, IRMO, SC 29063-7946
(803) 767-9737
(803) 749-6932
Mailing address
PO BOX 225, COLUMBIA, SC 29202-0225
(803) 767-9737
(803) 749-6932
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5406
SC
Other
Enumeration date
12/11/2007
Last updated
03/22/2009
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