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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER MELISSA NEWSOM, P.T.

Active Sole Proprietor

JENNIFER MELISSA NEWSOM, P.T. is a Pediatric Occupational Therapy healthcare provider located in GOOSE CREEK, South Carolina. NPI 1700131802 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · GOOSE CREEK, SC

Registration Details

NPI Number
1700131802
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2012 (14.105703512046 yrs)
Last Updated
Jul 16, 2012
License
PT 6673 (SC)
Sole Proprietor
Yes

Practice Information

Address
120C SPRINGHALL DR
GOOSE CREEK, SC, 294455335
Browse SC providers · Browse ZIP 29445
Phone
8432160290
Primary Specialty
Pediatric Occupational Therapy
2251P0200X
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.