Individual
SHIRLEY L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
(843) 876-1347
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
(843) 876-1347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
199
SC
Other
Enumeration date
09/15/2006
Last updated
08/07/2009
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