Most Relevant Information
Provider Data
NPI Number: | 1003259730 |
Provider Name: | JANICE ACQUISTO |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 3808 |
Most Important Dates
Enumeration Date: | 04/11/2013 |
Last Updated: | 04/11/2013 |
Provider Practice Location
1531 THREE DOG RD
CHAPIN
SC
290367621
Practice Location Phone/Fax
Phone: | 8034764600 |
Fax: |
Provider Mailing Location
1531 THREE DOG RD
CHAPIN
SC
290367621
Provider Mailing Phone/Fax
Phone: | 8034764600 |
Fax: |