| NPI | 1245846930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY ANNE OHAREN Owner 843-790-5077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-21 |