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Contact Information

MULTIDISCIPLINARY THERAPY
1612 MARION ST STE 218G
COLUMBIA, SC29201-2939
 Phone: 803-410-5483
 Fax: 803-250-2651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Art Therapist

221700000X
 

Music Therapist

225A00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MULTIDISCIPLINARY THERAPY · (Female)

NPI Number 1013493162
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2018
Last updated 10/31/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP8479
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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