Individual
ANNE RAVENEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 BEVERLY RD, APT A, CHARLESTON, SC 29407-7564
(843) 670-6776
Mailing address
28 BEVERLY RD, APT A, CHARLESTON, SC 29407-7564
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2959
SC
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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