Individual
LAURA WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 COMMERCIAL CENTER DRIVE, LADSON, SC 29456-2945
(843) 314-5434
Mailing address
3851 COMMERCIAL CENTER DRIVE, LADSON, SC 29456
(843) 314-5434
(888) 510-9156
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4929
SC
225XP0200X
Pediatric Occupational Therapist
0119005870
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH3541
—
SC
Enumeration date
03/18/2013
Last updated
05/08/2019
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