MR. Thomas Andrew Kincheloe, OTR/L, CLT

NPI #1407084973 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1407084973
Entity Type: Individual
Name: MR. Thomas Andrew Kincheloe, OTR/L, CLT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L, CLT
Enumeration Date: Jun 23, 2009
Last Updated: Feb 1, 2026

Practice Location

Address: 100 PRATHER PARK DR
Address 2: SUITE A
City: Myrtle Beach
State: South Carolina
ZIP Code: 29588-7910
Phone: (843) 742-5701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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