Individual
MICHELE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WOODS LAKE RD STE 503, GREENVILLE, SC 29607-6125
(864) 263-4801
(864) 263-4802
Mailing address
25 WOODS LAKE RD STE 503, GREENVILLE, SC 29607-6125
(864) 263-4801
(864) 263-4802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
601
SC
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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