Individual
MR. ANDREW P MAURIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1306 PELHAM RD, GREENVILLE, SC 29615-3600
(864) 286-6600
Mailing address
7 TAMARACK TRAIL, GREENVILLE, SC 29609
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3081
SC
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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