Individual
MISS HARPER NICOLE WINICOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOT, OTR/L
Contact information
Practice address
672 MARINA DR STE 104, CHARLESTON, SC 29492-9084
(336) 528-0518
Mailing address
1555 BLAZE LN, CHARLESTON, SC 29412-8653
(336) 528-0518
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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