MS. CYNTHIA LYNN CLUBB-CHARLES OTR/L
NPI 1891122016
Occupational Therapist - Pediatrics in Columbia, SC

Active since October 02, 2013
430 WAGNER TRL, COLUMBIA, SC 29229(803) 479-7904 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Cynthia Lynn Clubb-charles Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CYNTHIA LYNN CLUBB-CHARLES OTR/L (NPI 1891122016) is an individual pediatrics provider in Columbia, South Carolina, licensed in South Carolina (424) and active in the NPI registry since October 2013.Information from the official NPPES registry record, last updated October 2, 2013.

NPPES Registry Identity

NPI1891122016
Entity TypeIndividualFemale
Provider Legal NameMS. CYNTHIA LYNN CLUBB-CHARLESCredential: OTR/L
Location Address430 WAGNER TRLColumbia, SC 29229-7036
Mailing Address430 Wagner TrlColumbia, SC 29229-7036 · (803) 479-7904
Sole ProprietorYes
Enumeration DateOctober 2, 2013
NPI 1891122016 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Occupational Therapist · Pediatrics

Taxonomy 225XP0200X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Licensed in SC · 424

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is… Show more

430 WAGNER TRL, Columbia, SC 29229

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891122016, enumerated as an "individual" on October 02, 2013.

The provider is located at 430 WAGNER TRL COLUMBIA, SC 29229 and the phone number is (803) 479-7904.

Occupational Therapist with taxonomy code 225XP0200X and a focus in Pediatrics.