Individual
KELLY LYNN QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 QUEENSBOROUGH BLVD STE 104, MT PLEASANT, SC 29464-5431
(843) 216-0290
Mailing address
PO BOX 1753, MT PLEASANT, SC 29465-1753
(843) 216-0290
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2909
SC
Other
Enumeration date
05/21/2008
Last updated
05/22/2020
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