Organization
LITTLE FISH OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA FISHER OTR/L (OWNER/ SERVICE PROVIDER)
(661) 858-3219
Entity
Organization
Contact information
Practice address
16 ALICE FARR DR, GREENVILLE, SC 29617-1502
(661) 858-3219
Mailing address
16 ALICE FARR DR, GREENVILLE, SC 29617-1502
(661) 858-3219
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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