Individual
JASON KUPIEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9525 HIGHWAY 78, LADSON, SC 29456-3966
(843) 000-0000
Mailing address
9525 HIGHWAY 78, LADSON, SC 29456-3966
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
24513
SC
222Q00000X
Developmental Therapist
Primary
24513
SC
251E00000X
Home Health Agency
24513
SC
385H00000X
Respite Care
24513
SC
Other
Enumeration date
11/09/2010
Last updated
01/26/2026
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