Organization
SEA STARS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIN B GUARIGLIA (OWNER)
(203) 209-7174
Entity
Organization
Contact information
Practice address
1000 JOHNNIE DODDS BLVD, STE 103-179, MOUNT PLEASANT, SC 29464-3135
(203) 209-7174
(843) 556-6742
Mailing address
1000 JOHNNIE DODDS BLVD, STE 103-179, MOUNT PLEASANT, SC 29464-3135
(203) 209-7174
(843) 556-6742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4188
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4188
LICENSE
—
05
—
TH2677
—
SC
Enumeration date
03/24/2016
Last updated
03/24/2016
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