Organization
GIMME FIVE, PLLC
Active
Organization
GIMME FIVE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY FAULKENBERRY OTR/L (OWNER/OCCUPATIONAL THERAPIST)
18034223458
Entity
Organization
Contact information
Practice address
112 WOODGLEN LN, CHAPIN, SC 29036-7514
(803) 422-3458
(803) 732-5857
Mailing address
112 WOODGLEN LN, CHAPIN, SC 29036-7514
(803) 422-3458
(803) 732-5857
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2583
SC
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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