Individual
MRS. NICOLE ANN BLOXOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 JOHNNIE DODDS BLVD STE G, MT PLEASANT, SC 29464-3100
(843) 654-9694
Mailing address
1051 JOHNNIE DODDS BLVD STE G, MT PLEASANT, SC 29464-3100
(843) 654-9694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4570
SC
Other
Enumeration date
05/08/2022
Last updated
05/08/2022
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