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Organization

MT. PLEASANT PEDIATRIC SPEECH THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNMARIE LEAHY (OWNER)
(843) 300-2812
Entity
Organization

Contact information

Practice address
3550 STOCKTON DR, MT PLEASANT, SC 29466-7028
(843) 300-2812
Mailing address
3550 STOCKTON DR, MT PLEASANT, SC 29466-7028
(843) 300-2812

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376822452
SC
Enumeration date
07/07/2015
Last updated
07/21/2021
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