| NPI | 1861690794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STEVEN FOGNER President 843-665-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 361) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |