Organization
KID BUILDERS, LLC.
Active
Other names
Rehab Builders
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TABITHA KAZON BERRY M.A. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(864) 907-7725
Entity
Organization
Contact information
Practice address
6 BOX TREE WAY, GREENVILLE, SC 29605-5964
(864) 907-7725
(864) 236-9935
Mailing address
6 BOX TREE WAY, GREENVILLE, SC 29605-5964
(864) 907-7725
(864) 236-9935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4386
—
SC
Enumeration date
05/09/2006
Last updated
08/22/2020
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