Individual
TRICIA VANRIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
(843) 903-8300
Mailing address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3649
SC
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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