Individual
MICHAEL VON KAMPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7601 DRIFTWOOD DR, MYRTLE BEACH, SC 29572-4153
(843) 340-9229
Mailing address
7601 DRIFTWOOD DR, MYRTLE BEACH, SC 29572-4153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2452
SC
224Z00000X
Occupational Therapy Assistant
Primary
4543
NC
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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