Individual
SUCHITA PRAKASH BHAYADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 SALKAHATCHIE ST, SUMMERVILLE, SC 29485-6832
(843) 810-6605
Mailing address
345 SALKAHATCHIE ST, SUMMERVILLE, SC 29485-6832
(843) 810-6605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1376
SC
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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