NPI | 1851441265 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY HERRING LEWIS Owner 843-343-8029 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 2570) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2008-06-30 |