Individual
NAAMA ROSENHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
(843) 903-8958
Mailing address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
8369
NC
225XG0600X
Gerontology Occupational Therapist
Primary
OT.4115 OT
SC
Other
Enumeration date
05/07/2013
Last updated
06/13/2013
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