Individual
MS. OCTAVIA PHILLIPS MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MHS
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 931854, ATLANTA, GA 31193-1854
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3675
SC
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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