Upstate Pediatric Therapy Co
NPI #1053018325 in Seneca, South Carolina
Provider Information
- NPI Number
- 1053018325
- Entity Type
- Organization
- Organization Name
- Upstate Pediatric Therapy Co
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Feb 7, 2023
- Last Updated
- Feb 7, 2023
Practice Location
- Address
- 1460 CONEROSS POINT DR
- City
- Seneca
- State
- South Carolina
- ZIP Code
- 29678-5908
- Phone
- (208) 989-9487
Authorized Official
- Name
- STACIE MARIE GOODWIN, OTR/L
- Title
- OWNER
- Phone
- (208) 989-9487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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