Individual
SARAH E VANDERBOSCH SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 STEVENS ST, LORIS, SC 29569-2953
(843) 716-7106
Mailing address
4000 HIGHWAY 9 EAST, PHYSICAL THERAPY, LITTLE RIVER, SC 29566-9324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4679
SC
Other
Enumeration date
01/14/2020
Last updated
05/20/2022
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