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

KIMBERLY DIANE EDDY, PTA

Active Sole Proprietor

KIMBERLY DIANE EDDY, PTA is a Occupational Therapist healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1760155816 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MYRTLE BEACH, SC

Registration Details

NPI Number
1760155816
Provider Type
Individual
Gender
Female
NPI Issued
Jul 26, 2021 (5.0098708996186 yrs)
Last Updated
Jul 26, 2021
License
1057 (SC)
Sole Proprietor
Yes

Practice Information

Address
5050 WINDSOR GREEN WAY UNIT 104
MYRTLE BEACH, SC, 295791810
Browse SC providers · Browse ZIP 29579
Phone
8433256278
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MYRTLE BEACH, SC

Name Credential NPI
SANDRA ELIZABETH VORP P.T.A. 1821028085
MELESSA BARNHILL 1669582383
MRS. AMY A MATHNEY P.T.A. 1679612279
MISS STACEY RENA VANDALL PTA 1679786313
MELINA LEA MILLER PTA 1689981870
ADAM KENDIG PTA 1619284643
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.