Individual
SUSAN PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 2ND AVE N STE 102, NORTH MYRTLE BEACH, SC 29582-3287
(910) 840-9093
Mailing address
1016 2ND AVE N STE 102, NORTH MYRTLE BEACH, SC 29582-3287
(910) 840-9093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9616
NC
225XP0200X
Pediatric Occupational Therapist
4605
SC
Other
Enumeration date
06/13/2018
Last updated
05/25/2021
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