Individual
DESTINY LAUREN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 ASHLEY HALL RD, CHARLESTON, SC 29407-3824
(843) 277-2411
Mailing address
1640 ASHLEY HALL RD, CHARLESTON, SC 29407-3824
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5187
SC
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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