Individual
LESLEY HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
230 PALMETTO BLF, MOUNT PLEASANT, SC 29464-8290
(843) 822-8922
Mailing address
230 PALMETTO BLF, MOUNT PLEASANT, SC 29464-8290
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2220
SC
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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