Individual
MRS. LANETTE SUE ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1350
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3824
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH2385
—
SC
Enumeration date
02/04/2007
Last updated
07/26/2022
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