| Octavia & Main, Llc | |
|
1131 Queensborough Blvd Ste 100, Mt Pleasant, SC 29464-5430 | |
| (843) 606-6223 | |
| Not Available |
| Full Name | Octavia & Main, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Mental Health |
| Location | 1131 Queensborough Blvd Ste 100, Mt Pleasant, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174170542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XM0800X | Occupational Therapist - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Octavia & Main, Llc 910 Strathorn Dr, Cary, NC 27519-8842 Ph: (919) 986-2962 | Octavia & Main, Llc 1131 Queensborough Blvd Ste 100, Mt Pleasant, SC 29464-5430 Ph: (843) 606-6223 |
Lauren Webb, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1127 Queensborough Blvd Ste 104, Mt Pleasant, SC 29464 Phone: 843-216-0290 | |
Miss Rachel Helen Cousar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1127 Queensborough Blvd Ste 104, Mt Pleasant, SC 29464 Phone: 404-771-2468 | |
Mr. Sergei Makhenzon, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1469 Appling Dr, Mt Pleasant, SC 29464 Phone: 843-225-4519 | |
Ms. Wendy Ball Free, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1308 Pilsdon Crst, Mt Pleasant, SC 29464 Phone: 843-323-2103 | |
Kayla Soltis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 85c Vincent Dr, Mt Pleasant, SC 29464 Phone: 843-822-2292 | |
Mrs. Christine Roebuck Blake, OTR L CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 570 Long Point Rd, Suite 270, Mt Pleasant, SC 29464 Phone: 843-884-4783 Fax: 843-884-1979 | |
Anna Blair Henderson, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1351 Fairmont Ave, Mt Pleasant, SC 29464 Phone: 704-534-4471 |