Individual
EMILY VIRGINIA FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
647 MAIN ST, NORTH MYRTLE BEACH, SC 29582-3027
(843) 455-7505
Mailing address
115 ASCEND LOOP UNIT 1303, MYRTLE BEACH, SC 29579-2811
(908) 200-9395
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5723
SC
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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