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Organization

CAROLINA HAND THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINE ROEBUCK BLAKE OTR L CHT (CEO)
(843) 856-1634
Entity
Organization

Contact information

Practice address
802 JOHNNIE DODDS BLVD, SUITE A, MT PLEASANT, SC 29464-3183
(843) 856-1634
(843) 856-2534
Mailing address
802 JOHNNIE DODDS BLVD, SUITE A, MT PLEASANT, SC 29464-3183
(843) 856-1634
(843) 856-2534

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP2872
SC
Enumeration date
05/03/2006
Last updated
09/07/2011
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