Organization
ISLAND PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI FRAZIER DANIEL OT (OWNER, CEO)
(843) 270-3412
Entity
Organization
Contact information
Practice address
3321 ZOE ST, JOHNS ISLAND, SC 29455-7768
(843) 270-3412
Mailing address
3321 ZOE ST, JOHNS ISLAND, SC 29455-7768
(843) 270-3412
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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