Individual
EMILY MODLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/ OTR/L
Contact information
Practice address
545 VERDAE BLVD, GREENVILLE, SC 29607-4021
(864) 520-8910
Mailing address
12 WOLSELEY RD, GREENVILLE, SC 29615-2842
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4337
SC
Other
Enumeration date
02/06/2015
Last updated
07/27/2016
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