Provider Demographics
NPI:1427688456
Name:INTEGRATIONS CHILDREN'S THERAPY
Entity type:Organization
Organization Name:INTEGRATIONS CHILDREN'S THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:DOOLITTLE
Authorized Official - Last Name:MCFALLS
Authorized Official - Suffix:
Authorized Official - Credentials:MHS, OTR/L
Authorized Official - Phone:843-224-3070
Mailing Address - Street 1:517 MCCANTS DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-5016
Mailing Address - Country:US
Mailing Address - Phone:843-224-3070
Mailing Address - Fax:843-492-6195
Practice Address - Street 1:517 MCCANTS DR
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-5016
Practice Address - Country:US
Practice Address - Phone:843-224-3070
Practice Address - Fax:843-492-6195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty