Organization
SUNNYSIDE OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURYA BRIANNA BOYD RIVERS OTD, OTR/L (OCCUPATIONAL THERAPIST)
(843) 372-9800
Entity
Organization
Contact information
Practice address
737 MIRACLE DR, EUTAWVILLE, SC 29048-8864
(843) 372-9800
Mailing address
737 MIRACLE DR, EUTAWVILLE, SC 29048-8864
(843) 372-9800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/11/2024
Last updated
12/05/2025
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