Pediatric Therapy Achievements, Llc | |
43 Aviary Ln, Johnston, SC 29832-2658 | |
(803) 640-3984 | |
Not Available |
Full Name | Pediatric Therapy Achievements, Llc |
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Type | Facility |
Speciality | Speech-language Pathologist |
Location | 43 Aviary Ln, Johnston, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821395658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 3298 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
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Pediatric Therapy Achievements, Llc 43 Aviary Ln, Johnston, SC 29832-2658 Ph: (803) 640-3984 | Pediatric Therapy Achievements, Llc 43 Aviary Ln, Johnston, SC 29832-2658 Ph: (803) 640-3984 |
Tracie Rhoden Brazell, MA-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 43 Aviary Ln, Johnston, SC 29832 Phone: 803-275-3767 | |
Mrs. Keelie Yonce Gossett, MSP, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1304 Calhoun St, Johnston, SC 29832 Phone: 803-275-2041 |