Individual
LAURIE BOGGUS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
296 BROAD RIVER DR, BEAUFORT, SC 29906-6953
(843) 252-1534
Mailing address
296 BROAD RIVER DR, BEAUFORT, SC 29906-6953
(843) 252-1534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2324
SC
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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