Individual
DEANDRA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2126 HIGHWAY 9 E STE C4, LONGS, SC 29568-5753
(843) 734-1076
Mailing address
66 GRESHAM DR, GEORGETOWN, SC 29440-7833
(843) 240-8553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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