Organization
SUNSHINE PEDIATRIC THERAPY LLC
Active
Organization
SUNSHINE PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA NEIMAN DENT OTR/L (OWNER/ OCCUPATIONAL THERAPIST)
(803) 736-2092
Entity
Organization
Contact information
Practice address
303 N WOODLAKE DR, COLUMBIA, SC 29229-8933
(803) 736-2092
(803) 736-2092
Mailing address
303 N WOODLAKE DR, COLUMBIA, SC 29229-8933
(803) 736-2092
(803) 736-2092
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
571
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1923
—
SC
Enumeration date
05/11/2009
Last updated
05/11/2009
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