Individual
KATIE MARIE EHLERS FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
440 2ND LOOP RD, FLORENCE, SC 29505-2814
(843) 777-4075
Mailing address
440 2ND LOOP RD, FLORENCE, SC 29505-2814
(843) 777-4075
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4472
SC
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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