Individual
MRS. DARLENE MARIE MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
914 BYPASS 123, SENECA, SC 29678
(864) 888-4466
Mailing address
206 FAIRVIEW COVE RD, SENECA, SC 29672-6973
(864) 888-4466
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1631
SC
225XP0200X
Pediatric Occupational Therapist
1631
SC
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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