Organization
SUNSHINE PEDIATRIC THERAPY OF SOUTH CAROLINA
Active
Organization
SUNSHINE PEDIATRIC THERAPY OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN R MCCULLOUGH MS-PT (PRINCIPAL)
(770) 256-9921
Entity
Organization
Contact information
Practice address
5 IVY LAWN PL, GREENVILLE, SC 29605-6522
(770) 256-9921
(251) 517-7216
Mailing address
5 IVY LAWN PL, GREENVILLE, SC 29605-6522
(770) 256-9921
(251) 517-7216
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
7626
SC
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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