Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 3037 | SC |
N | 225XH1200X | Occupational Therapist - Hand | 3037 | SC |
NPI | 1174717490 |
---|---|
Provider Name | Neva Leigh Edrington |
First Address | Hilton Head, SC 29926-4004 |
Second Address | Hilton Head, SC 29926-8700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2007 |
Last Update Date | 29/08/2007 |