| NPI | 1134493737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STASI ANN GORMLEY Owner/Occupational Therapist 843-345-2769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XL0004X Occupational Therapist Low Vision (Licence: SC 2491) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2012-02-28 |