| Superkidz Pediatric Therapy, Llc | |
|
1700 Quail Lake Dr, West Columbia, SC 29169-3746 | |
| (803) 509-3459 | |
| Not Available |
| Full Name | Superkidz Pediatric Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 1700 Quail Lake Dr, West Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699155317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Superkidz Pediatric Therapy, Llc Po Box 2791, Columbia, SC 29202-2791 Ph: (803) 509-3459 | Superkidz Pediatric Therapy, Llc 1700 Quail Lake Dr, West Columbia, SC 29169-3746 Ph: (803) 509-3459 |
Mr. Kelly Bryce Jansen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Hagen Leventis Balog, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Karen H Dorr, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 123 E Medical Ln, West Columbia, SC 29169 Phone: 803-791-2397 | |
Mrs. Rebecca Harley Amick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Ms. Chelsea Rufing, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 619-985-8074 | |
Kara Nicole Stahl, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Whitney Davis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 |