| Early Advantage, Llc | |
|
1320 Eden Rd, Awendaw, SC 29429-5914 | |
| (843) 270-3567 | |
| (843) 856-4932 |
| Full Name | Early Advantage, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 1320 Eden Rd, Awendaw, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912063660 | NPI | - | NPPES |
| GP4022 | Medicaid | SC | |
| TH1465 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 1498 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Early Advantage, Llc 1320 Eden Rd, Awendaw, SC 29429-5914 Ph: (843) 270-3567 | Early Advantage, Llc 1320 Eden Rd, Awendaw, SC 29429-5914 Ph: (843) 270-3567 |
Mrs. Brenda Batten Reagan, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1320 Eden Rd, Awendaw, SC 29429 Phone: 843-270-3567 Fax: 843-856-4932 | |
Brittany Marie Wellings, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3909 Sawmill Ct, Awendaw, SC 29429 Phone: 814-282-7499 Fax: 855-975-0605 |