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NPI Code Detail

MEDICARE: MARIAM S KRENKLER OTR/L

MEDICARE: MARIAM S KRENKLER OTR/L
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 Therapist4857SC

General Provider Information

NPI Number : 1578957692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAM S KRENKLER OTR/L
Provider Business Mailing Address
First Line : 1047 WAYFARER LN
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-8424
Country : US
Telephone Number : 804-477-4276
Fax Number :
Provider Business Practice Location Address
First Line : 4105 FABER PLACE DR STE 420
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-8594
Country : US
Telephone Number : 843-894-7374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2015
Last Update Date : 07/21/2025

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Directions to “ MARIAM S KRENKLER OTR/L” Practice Location

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