Individual
ISABELLE ANASTASIA CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
343 PRADO WAY, GREENVILLE, SC 29607-6512
(864) 270-8647
Mailing address
343 PRADO WAY, GREENVILLE, SC 29607-6512
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6661
SC
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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