Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Upstate Pediatric Therapy Co

Organization Occupational Therapist · NPI 1053018325

Upstate Pediatric Therapy Co is an Occupational Therapist in Seneca, South Carolina. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1460 Coneross Point Dr
Seneca, SC 29678-5908
Phone: (208) 989-9487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1053018325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacie Goodwin — Owner · (208) 989-9487
NPI enumeratedFebruary 7, 2023
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address1460 Coneross Point Dr, Seneca, SC 29678-5908

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