| Southern Oaks Therapy Services Llc | |
|
1460 Pocotaligo Rd, Fairfax, SC 29827-6826 | |
| (803) 943-6401 | |
| Not Available |
| Full Name | Southern Oaks Therapy Services Llc |
|---|---|
| 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 |
|---|---|
| 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 |