Southern Oaks Therapy Services Llc | |
1460 Pocotaligo Rd, Fairfax, SC 29827-6826 | |
(803) 943-6401 | |
Not Available |
Full Name | Southern Oaks Therapy Services Llc |
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Type | Facility |
Speciality | Speech-language Pathologist |
Location | 1460 Pocotaligo Rd, Fairfax, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710588942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Southern Oaks Therapy Services Llc 1460 Pocotaligo Rd, Fairfax, SC 29827-6826 Ph: (803) 943-6401 | Southern Oaks Therapy Services Llc 1460 Pocotaligo Rd, Fairfax, SC 29827-6826 Ph: (803) 943-6401 |
Mrs. Kelly Futch Wall, MA, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1460 Pocotaligo Rd, Fairfax, SC 29827 Phone: 803-943-6401 | |
Alexis Noll, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1787 Allendale Fairfax Hwy, Fairfax, SC 29827 Phone: 803-632-3311 |