Organization
SEA STARS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIAM CHINN MS, OTR/L (OCCUPATIONAL THERAPIST)
(804) 477-4276
Entity
Organization
Contact information
Practice address
1047 WAYFARER LN, CHARLESTON, SC 29412-8424
(804) 477-4276
Mailing address
1047 WAYFARER LN, CHARLESTON, SC 29412-8424
(804) 477-4276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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