Frank William Augustine, OTR

Individual provider Active NPI Occupational Therapist · Murrells Inlet, SC

NPI 1629367305 · NPPES record last updated Sep 25, 2012

Key facts

NPI
1629367305
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
3637 (SC)
Practice address
88 Riverbend Dr
Murrells Inlet, SC 29576-9785
Phone
(843) 299-0342
Fax
(843) 299-0342
NPI assigned
Apr 1, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000274-1NYMDMental Health Counselor
3637SCMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 000274-1 NY
Occupational Therapist 225X00000X 3637 SC Yes

Addresses

Primary practice location

88 Riverbend Dr
Murrells Inlet, SC 29576-9785

Mailing address

88 Riverbend Dr
Murrells Inlet, SC 29576-9785
Phone (843) 299-0342

Other providers in Murrells Inlet, SC

All providers in Murrells Inlet, SC · Occupational Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.