Individual
MRS. MARY B. MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6830 FRANCIS MARION RD, PAMPLICO, SC 29583-6900
(843) 493-5879
Mailing address
6830 FRANCIS MARION RD, PAMPLICO, SC 29583-6900
(843) 493-5879
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
691
SC
Other
Enumeration date
02/26/2013
Last updated
03/01/2013
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