Organization
SPECIALISTS IN PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE LENKER MS OTR/L (OWNER)
(803) 238-5447
Entity
Organization
Contact information
Practice address
1087 HARBOR DR, SUITE C, WEST COLUMBIA, SC 29169-3609
(803) 238-5447
Mailing address
PO BOX 291567, COLUMBIA, SC 29229-0027
(803) 238-5447
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1233
SC
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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