Individual
MRS. RAEGAN SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1727 BUCK SWAMP RD, FORK, SC 29543-6116
(877) 311-2675
Mailing address
521 LAKESIDE CT, DILLON, SC 29536-1911
(843) 229-3596
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4015
SC
Other
Enumeration date
08/23/2014
Last updated
08/23/2014
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