Organization
PALMETTO EARLY BEGINNINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENEA BOYKIN (SPEECH PATHOLOGIST)
(803) 271-2364
Entity
Organization
Contact information
Practice address
355 RIDGE RUN TRL, IRMO, SC 29063-8667
(803) 271-2364
Mailing address
355 RIDGE RUN TRL, IRMO, SC 29063-8667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
3951
SC
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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