Individual
MELISSA VAN WYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TARRAR SPRINGS RD, LEXINGTON, SC 29072-3835
(803) 227-9213
Mailing address
100 TARRAR SPRINGS RD, LEXINGTON, SC 29072-3835
(803) 227-9213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5084
SC
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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