Healthcare Provider Details

I. General information

NPI: 1659916252
Provider Name (Legal Business Name): NEW HORIZONS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2019
Last Update Date: 11/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 PLAYGROUND RD
CHARLESTON SC
29407-6465
US

IV. Provider business mailing address

1099 PLAYGROUND RD
CHARLESTON SC
29407-6465
US

V. Phone/Fax

Practice location:
  • Phone: 843-573-2111
  • Fax:
Mailing address:
  • Phone: 843-573-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. KERRI MARIE KRAUSS
Title or Position: FOUNDER/DIRECTIOR
Credential: PH.D. BCBA
Phone: 843-573-2111