Organization
O.P.A.L.S. HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE D PRYOR CCC-SLP (OWNER/ SPEECH THERAPIST)
(803) 873-2243
Entity
Organization
Contact information
Practice address
9325 BLUE HOUSE RD APT 11105, LADSON, SC 29456-4230
(803) 873-2243
Mailing address
9325 BLUE HOUSE RD APT 11105, LADSON, SC 29456-4230
(803) 873-2243
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/04/2019
Last updated
02/07/2020
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