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NPI Code Detail

MEDICARE: EMMA JANE TOBER OTD

MEDICARE: EMMA JANE TOBER OTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist7808SC

General Provider Information

NPI Number : 1821953472
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA JANE TOBER OTD
Provider Business Mailing Address
First Line : 1043 FORT SUMTER DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-4331
Country : US
Telephone Number : 703-967-7436
Fax Number :
Provider Business Practice Location Address
First Line : 85C VINCENT DR
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-4030
Country : US
Telephone Number : 843-822-2292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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