Nutrio Pediatric Therapy, LLC
NPI #1932932035 in Simpsonville, South Carolina
Provider Information
- NPI Number
- 1932932035
- Entity Type
- Organization
- Organization Name
- Nutrio Pediatric Therapy, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 23, 2024
- Last Updated
- Aug 23, 2024
Practice Location
- Address
- 405 FAIRDALE DR
- City
- Simpsonville
- State
- South Carolina
- ZIP Code
- 29681-4450
- Phone
- (561) 985-1455
Authorized Official
- Name
- TARA SHINGLETON, CCC-SLP
- Title
- OWNER
- Phone
- (561) 985-1455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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