Individual
MICQUEL W HUTMAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
601 MATHIS FERRY RD, MT PLEASANT, SC 29464-2623
(843) 884-0212
(843) 884-0565
Mailing address
1297 WILD OLIVE DR, MT PLEASANT, SC 29464-7478
(843) 216-8714
(843) 884-0565
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2603
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1639
—
SC
Enumeration date
05/12/2006
Last updated
07/08/2007
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