Individual
DONNA MECCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2233 DEERFIELD DR, FORT MILL, SC 29715-6941
(803) 548-2527
Mailing address
2233 DEERFIELD DR, FORT MILL, SC 29715-6941
(803) 548-2527
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2454
SC
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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