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Individual

REBECCA J BALTENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT, OTR/L

Contact information

Practice address
2 GRIFFITH RD, GREENVILLE, SC 29607-3503
(855) 525-3683
Mailing address
5 BLUFFTON CIR, TAYLORS, SC 29687-4325
(229) 894-4207

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5337
SC

Other

Enumeration date
06/12/2020
Last updated
06/12/2020
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