Individual
MARIAH FUIMAONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 TURNING LEAF CIR, BOILING SPRINGS, SC 29316-4814
(816) 797-8354
Mailing address
632 TURNING LEAF CIR, BOILING SPRINGS, SC 29316-4814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4453
SC
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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