| NPI | 1639753486 |
|---|---|
| Doing Business As | SP-OT ON THERAPY GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE DONALDSON Occupational Therapist 803-210-7235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |