| NPI | 1780060111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO HOLMES Occupational Therapist 803-665-6527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 2345) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |