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NPI Code Detail

MEDICARE: MS. NESSIE POLLARD SCHROM OTRL SIPTA

MEDICARE:  MS. NESSIE POLLARD SCHROM  OTRL SIPTA
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
1225X00000XOccupational Therapist1334SC
2225X00000XOccupational Therapist1285NC
3225X00000XOccupational TherapistTH1017SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2980484OTHERNATIONAL BOARD

General Provider Information

NPI Number : 1437120268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NESSIE POLLARD SCHROM OTRL SIPTA
Provider Business Mailing Address
First Line : 35 ASHLEY AVE
Second Line :
City : CHARLESTON
State : SC
Zip : 29401
Country : US
Telephone Number : 843-437-1482
Fax Number : 843-577-5406
Provider Business Practice Location Address
First Line : 2060 NORTHBROOK BLVD STE 103
Second Line : CAROLINA CHILDRENS THERAPY DBA
City : N CHARLESTON
State : SC
Zip : 29406-9811
Country : US
Telephone Number : 843-572-2450
Fax Number : 843-572-2451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 07/08/2007

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Directions to “ MS. NESSIE POLLARD SCHROM OTRL SIPTA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.