Organization
VISIO PERSPECTIVES NEURO REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY MCKENZIE-SMITH CCC/SLP (CEO/DIRECTOR)
(843) 394-7617
Entity
Organization
Contact information
Practice address
115 S MORRIS ST, LAKE CITY, SC 29560-2459
(843) 394-3605
(843) 394-1042
Mailing address
300 THURSTON ST, LAKE CITY, SC 29560-2527
(843) 394-3605
(843) 394-1042
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
1581
SC
235Z00000X
Speech-Language Pathologist
Primary
1113
SC
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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