Individual
GRETCHEN L PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
273 MOCKINGBIRD CIR, LEXINGTON, SC 29073-7709
(706) 825-6940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4110
SC
Other
Enumeration date
05/27/2019
Last updated
11/10/2020
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