Provider Demographics
NPI:1598115818
Name:WEBB OCCUPATIONAL THERAPY FOR CHILDREN L.L.C.
Entity Type:Organization
Organization Name:WEBB OCCUPATIONAL THERAPY FOR CHILDREN L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHTON
Authorized Official - Middle Name:PIPER
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-495-0289
Mailing Address - Street 1:1304 OLD MILL LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-9429
Mailing Address - Country:US
Mailing Address - Phone:919-495-0289
Mailing Address - Fax:
Practice Address - Street 1:1304 OLD MILL LN
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-9429
Practice Address - Country:US
Practice Address - Phone:919-495-0289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4541251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health