Individual
MRS. SARAH MARIE ASIMAKOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
101 BARLEY ST, GOOSE CREEK, SC 29445-9619
(207) 944-8013
(843) 553-6828
Mailing address
101 BARLEY ST, GOOSE CREEK, SC 29445-9619
(207) 944-8013
(843) 553-6828
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3319
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1983
—
SC
Enumeration date
06/29/2007
Last updated
02/07/2009
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