Organization
THERAPYWORKS 4 KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORRIE LONG PT (OWNER)
(803) 548-9113
Entity
Organization
Contact information
Practice address
1162 FORT MILL HWY STE A, INDIAN LAND, SC 29707-7698
(803) 548-9113
(803) 548-9116
Mailing address
1162 FORT MILL HWY STE A, INDIAN LAND, SC 29707-7698
(803) 548-9113
(803) 548-9116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/26/2012
Last updated
02/26/2012
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