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NPI Code Detail

MEDICARE: MISS HARPER NICOLE WINICOV DOT, OTR/L

MEDICARE: MISS HARPER NICOLE WINICOV DOT, 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
1225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1841925286
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS HARPER NICOLE WINICOV DOT, OTR/L
Provider Business Mailing Address
First Line : 1555 BLAZE LN
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-8653
Country : US
Telephone Number : 336-528-0518
Fax Number :
Provider Business Practice Location Address
First Line : 672 MARINA DR STE 104
Second Line :
City : CHARLESTON
State : SC
Zip : 29492-9084
Country : US
Telephone Number : 336-528-0518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2022
Last Update Date : 07/20/2022

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Directions to “ MISS HARPER NICOLE WINICOV DOT, OTR/L” Practice Location

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