| Pediatric Therapy Achievements, Llc | |
|
43 Aviary Ln, Johnston, SC 29832-2658 | |
| (803) 640-3984 | |
| Not Available |
| Full Name | Pediatric Therapy Achievements, Llc |
|---|---|
| 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 |
|---|---|
| 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 |