Individual
D'MARIEA LAMAR CALEB GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTR
Contact information
Practice address
11 SUNNY GLEN DR, BLUFFTON, SC 29910-5843
(909) 362-7388
Mailing address
11 SUNNY GLEN DR, BLUFFTON, SC 29910-5843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/20/2024
Last updated
08/25/2024
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