| NPI | 1134323249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE GUGLIELMELLO Occupational Therapist 843-425-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 2647) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2012-06-04 |