Individual
AMANDA KERSHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1051 JOHNNIE DODDS BLVD STE G, MT PLEASANT, SC 29464-3100
(315) 559-3754
Mailing address
40 REID ST APT C, CHARLESTON, SC 29403-6660
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5330
SC
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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