| NPI | 1902462450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE BASINGER Ot 843-321-8341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-06-04 |