Susannah Pate, OT
Individual provider Active NPI Occupational Therapist · Florence, SC
NPI 1376018945 · NPPES record last updated Oct 9, 2018
Key facts
- NPI
- 1376018945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4804 (SC)
- Practice address
- 515 Warley St
Florence, SC 29501-5132 - Phone
- (843) 245-2720
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4804 | SC | Yes |
Addresses
Primary practice location
515 Warley St
Florence, SC 29501-5132
Mailing address
1400 Wisteria Dr
Florence, SC 29501-5647
Phone (844) 245-2720
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Other | PRIVATE PAY |
Other names
- Annie Pate
Other providers in Florence, SC
- Kylie Parrish
- Partner in Care Agency LLC
- Hudnall Paschal
- Jennifer Christy Patchett
- Randy A Pate
- Dilipkumar R Patel
- Dipan Patel
- Kirtenkumar Naileshkumar Patel
- Kunal Kaushik Patel
- Nikhilkumar Patel
All providers in Florence, SC · Occupational Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.