Theraplayhouse, LLC
NPI #1003077611 in Lake City, South Carolina
Provider Information
- NPI Number
- 1003077611
- Entity Type
- Organization
- Organization Name
- Theraplayhouse, LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jun 17, 2008
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 515 FULMORE RD
- City
- Lake City
- State
- South Carolina
- ZIP Code
- 29560-7903
- Phone
- (843) 495-6404
Authorized Official
- Name
- MRS. SUSAN M PALMER, MSP, CCC/SLP
- Title
- SPEECH PATHOLOGIST/ INITIAL AGENT
- Phone
- (843) 495-6404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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