Individual
MRS. ELAINA NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4015 2ND AVE STE B, SUMMERVILLE, SC 29486-7882
(803) 929-7408
Mailing address
9285 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9126
(843) 797-8282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4380
SC
Other
Enumeration date
12/01/2014
Last updated
06/15/2021
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