Individual
MRS. HANNAH BROOKE BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 FOUNTAINVIEW TER, GREENVILLE, SC 29607-4060
(704) 641-8782
Mailing address
205 VERDAE BLVD UNIT 1137, GREENVILLE, SC 29607-7801
(704) 641-8782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5347
SC
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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