Individual
MEKOSHA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 TANNER BAY, GREENVILLE, SC 29607
(866) 571-2700
Mailing address
207 TANNER BAY, GREENVILLE, SC 29607
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2814
SC
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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