Individual
CAROL FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
507 GOOD LIFE WAY, HARDEEVILLE, SC 29927-9601
(610) 716-2944
Mailing address
507 GOOD LIFE WAY, HARDEEVILLE, SC 29927-9601
(610) 716-2944
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6846
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861584518
—
NC
05
—
7301946
—
NC
Enumeration date
09/29/2006
Last updated
11/20/2025
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