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Individual

ELLEN TESSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1807A E MAIN ST, EASLEY, SC 29640-3841
(864) 442-7482
Mailing address
116 GLEN WILLOW CT, GREER, SC 29650-2569
(864) 346-2222

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1460
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477881126
NPI
SC
Enumeration date
07/04/2013
Last updated
07/04/2013
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