Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | 2952 | SC |
NPI | 1215377403 |
---|---|
Provider Name | Stephanie Noel Freudenheim |
First Address | Mt Pleasant, SC 29466-8992 |
Second Address | Mt Pleasant, SC 29466-8992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2013 |
Last Update Date | 02/07/2013 |