Organization
PEDIATRIC PALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOGAN WEEKS (SPEECH LANGUAGE PATHOLOGIST)
(803) 336-8587
Entity
Organization
Contact information
Practice address
1367 W MARTINTOWN RD STE 1&2, NORTH AUGUSTA, SC 29860-7616
(803) 336-8587
Mailing address
191 BROXTEN DR, NORTH AUGUSTA, SC 29860-8154
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
01/14/2024
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