Individual
JOHN THOMAS MCNEELY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
Mailing address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1181
SC
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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