| NPI | 1598510042 |
|---|---|
| Doing Business As | PEDIATRICMO |
| Entity Type | Organization |
| Authorized Contact | MONIQUE D HINTON Occupational Therapist 803-257-3921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |