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Individual

TAMARA BROOKE HARDEE PENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
601 MATHIS FERRY RD, MT PLEASANT, SC 29464-7620
(843) 881-9809
(843) 894-9229
Mailing address
2011 N HIGHWAY 17 UNIT 2200B, MT PLEASANT, SC 29466-6847
(843) 340-5484

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
04/22/2013
Last updated
08/01/2024
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