Individual
TAMARA MICHELLE BOINEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1785 LEXINGTON COMMONS DR, ROCK HILL, SC 29732-3528
(803) 207-8000
Mailing address
1622 KILBURN LN, FORT MILL, SC 29715-0037
(864) 630-5849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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