Individual
CHRISTINA M. POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 SHADY PINES CT, FOUNTAIN INN, SC 29644-9785
(644) 089-5098
Mailing address
409 WINDWOOD ST, SIMPSONVILLE, SC 29680-6586
(864) 680-3047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5358
SC
225700000X
Massage Therapist
5537
SC
Other
Enumeration date
03/30/2020
Last updated
08/22/2022
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