| NPI | 1861790354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORA TARDIFF Occupational Therapist 843-813-6203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 3529) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2016-08-22 |