Individual
JESSICA L NEWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
307 PINEHAVEN STREET, LAURENS, SC 29360
(864) 984-6584
Mailing address
2718 SC HWY 202, POMARIA, SC 29126
(803) 429-8154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3865
SC
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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