Individual
SUSAN MAURINE OLMSCHENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2585 HIGHWAY 179, LITTLE RIVER, SC 29566-9451
(843) 279-8613
Mailing address
393 BLOSSOM TREE LN SE, BOLIVIA, NC 28422-8993
(910) 262-1331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1419
SC
225XP0200X
Pediatric Occupational Therapist
2898
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301202
—
NC
Enumeration date
02/04/2010
Last updated
05/22/2024
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