Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA MIMS
ActiveTERESA MIMS is a Occupational Therapy Assistant healthcare provider located in MANNING, South Carolina. NPI 1154442804 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MANNING, SC
Registration Details
- NPI Number
- 1154442804
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2007 (19.367970490084 yrs)
- Last Updated
- Sep 10, 2015
- Licenses
-
886 (SC)4582 (SC)
Practice Information
- Address
-
1026 RADIUS STMANNING, SC, 291027836Browse SC providers · Browse ZIP 29102
- Phone
- 8435989306
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.