Individual
ELIZABETH WHITTIER FUSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3620 HAPPY WOODS CT, MYRTLE BEACH, SC 29588-2925
(843) 293-8888
Mailing address
5122 MORNING FROST PL, MYRTLE BEACH, SC 29579-3576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3556
SC
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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