Individual provider · Type 1 NPI

Madeline M. Fetzko, O.T.

Occupational Therapist · Myrtle Beach, SC

NPI number 1992718027 Active

Practice location

210 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-6706

Call (843) 353-3460 Map

Fax (843) 353-3461

Mailing address

210 Village Center Blvd Ste 140
Myrtle Beach, SC 29579-6706

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X6305 (SC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1992718027

Madeline M. Fetzko, O.T.'s National Provider Identifier is 1992718027, issued on Aug 13, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Nov 19, 2024.