Early Advantage, Llc | |
1320 Eden Rd, Awendaw, SC 29429-5914 | |
(843) 270-3567 | |
(843) 856-4932 |
Full Name | Early Advantage, Llc |
---|---|
Type | Facility |
Speciality | Occupational Therapist - Pediatrics |
Location | 1320 Eden Rd, Awendaw, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912063660 | NPI | - | NPPES |
GP4022 | Medicaid | SC | |
TH1465 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 1498 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Early Advantage, Llc 1320 Eden Rd, Awendaw, SC 29429-5914 Ph: (843) 270-3567 | Early Advantage, Llc 1320 Eden Rd, Awendaw, SC 29429-5914 Ph: (843) 270-3567 |
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› Verified 2 days ago
Mrs. Brenda Batten Reagan, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1320 Eden Rd, Awendaw, SC 29429 Phone: 843-270-3567 Fax: 843-856-4932 |