Individual
MARY MICHELE PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 452-0017
Mailing address
203 KILLARNEY WAY, EASLEY, SC 29642-3125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
478
SC
Other
Enumeration date
05/16/2011
Last updated
05/08/2013
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