Individual
SARAH GASSMAN WILBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
408 FOLLY RD, CHARLESTON, SC 29412-2625
(843) 762-3601
(843) 762-7074
Mailing address
9 N BASILICA AVE, HANAHAN, SC 29410-8649
(843) 478-4047
(843) 762-7074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1567
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0665
—
SC
Enumeration date
08/29/2006
Last updated
11/02/2020
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