Soulshine Pediatric Therapy

NPI #1700595022 in Johns Island, South Carolina

Provider Information

NPI Number: 1700595022
Entity Type: Organization
Organization Name: Soulshine Pediatric Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Nov 15, 2022
Last Updated: Nov 15, 2022

Practice Location

Address: 3077 VINCENT ASTOR DR
City: Johns Island
State: South Carolina
ZIP Code: 29455-8279
Phone: (678) 641-3767

Authorized Official

Name: JAYME LEE JARRETT
Title: OWNER
Phone: (678) 641-3767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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