Organization
ISLAND PEDIATRIC THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI FRAZIER DANIEL OTR (OCCUPATIONAL THERAPIST, OWNER)
(843) 270-3412
Entity
Organization
Contact information
Practice address
1744 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4935
(843) 270-3412
(843) 627-4706
Mailing address
PO BOX 218, EHRHARDT, SC 29081-0218
(843) 270-3412
(843) 627-4706
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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