Individual
MRS. KELLY MACINTIRE PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1364
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5148
SC
225XP0200X
Pediatric Occupational Therapist
5148
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH3181
—
SC
Enumeration date
12/18/2017
Last updated
06/22/2022
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