Individual
DIARRA MICHELLE MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1612 EBENEZER RD STE 101, ROCK HILL, SC 29732-3862
(803) 329-9500
(803) 228-0101
Mailing address
1612 EBENEZER RD STE 101, ROCK HILL, SC 29732-3862
(803) 329-9500
(803) 228-0101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15884
NC
Other
Enumeration date
06/21/2023
Last updated
06/23/2023
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