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Individual

ELLIOTT TRISTAN RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1129 BOMBAY LN UNIT 8201, MYRTLE BEACH, SC 29572-4692
(910) 789-4532
Mailing address
546 FIROUZ DR, LONGS, SC 29568-6274
(704) 771-8022

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7950
SC

Other

Enumeration date
05/21/2026
Last updated
05/21/2026
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