Organization
OCEANSIDE PEDIATRIC THERAPY SERVICES, LLC
Active
Organization
OCEANSIDE PEDIATRIC THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PRINCE OTR/L (OWNER/OPERATOR)
(910) 840-9093
Entity
Organization
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
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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