Individual provider · Type 1 NPI

Marissa Slate, PT, DPT

Pediatric Physical Therapist · Ladson, SC

NPI number 1306298443 Active

Practice location

9565 Highway 78 Ste 102
Ladson, SC 29456-4118

Call (843) 314-5434 Map

Fax (888) 510-9156

Mailing address

9565 Hwy 78 Bldg 700 Ste 102
Ladson, SC 29456-4116

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist 2251P0200XPT31544 (FL)
Pediatric Physical Therapist Primary 2251P0200XPT 8191 (SC)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1306298443

Marissa Slate, PT, DPT's National Provider Identifier is 1306298443, issued on Jul 12, 2016. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Ladson, SC. The record was last updated on Dec 13, 2017.