# ORIGIN PELVIC HEALTH AND OCCUPATIONAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104683168
- **Authorized official:** EMILY KIMMINS OTD, OTR/L (CEO)
- **Authorized official phone:** (843) 812-1958

## Contact information

- **Practice address:** 1718 RIBAUT RD, PORT ROYAL, SC 29935-1927
- **Practice address phone:** (843) 812-1958
- **Mailing address:** 116 GRANGE LN, BEAUFORT, SC 29907
- **Mailing address phone:** (843) 812-1958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 05/21/2025