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NPI Code Detail

MEDICARE: SANDLAPPER THERAPY GROUP LLC

MEDICARE: SANDLAPPER THERAPY GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1922817626
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDLAPPER THERAPY GROUP LLC
Provider Business Mailing Address
First Line : 1823 GADSDEN ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2344
Country : US
Telephone Number : 803-200-2092
Fax Number :
Provider Business Practice Location Address
First Line : 1823 GADSDEN ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2344
Country : US
Telephone Number : 803-200-2092
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANGELA HANCOCK
Credential :
Telephone Number : 803-200-2092
Provider Enumeration Date : 01/06/2025
Last Update Date : 08/28/2025

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Directions to “SANDLAPPER THERAPY GROUP LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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