Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4718 | SC |
N | 225X00000X | Occupational Therapist | 9569 | NC |
NPI | 1003206368 |
---|---|
Provider Name | Lauren Webb |
First Address | Mt Pleasant, SC 29465-1753 |
Second Address | Mt Pleasant, SC 29464-5431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2015 |
Last Update Date | 18/08/2021 |