Individual
KATHLEEN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
355 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
(864) 595-4821
Mailing address
205 RIVEREDGE DR, MOORE, SC 29369-9019
(864) 574-4724
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1812
SC
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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