Individual
MR. JESSE AUSEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
103 PRESCOTT DR, BEAUFORT, SC 29902-5260
(770) 307-8723
Mailing address
103 PRESCOTT DR, BEAUFORT, SC 29902-5260
(770) 307-8723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4019
SC
225XP0200X
Pediatric Occupational Therapist
4019
SC
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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