Individual
FREDERICA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1753 MARTIN LUTHER KING BLVD, HOPKINS, SC 29061-9613
(803) 479-8073
Mailing address
1753 MARTIN LUTHER KING BLVD, HOPKINS, SC 29061-9613
(803) 479-8073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6508
SC
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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