Individual
BROOKLYN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
292 S PINE ST STE A, SPARTANBURG, SC 29302-2673
(864) 591-3484
(864) 751-4115
Mailing address
292 S PINE ST STE A, SPARTANBURG, SC 29302-2673
(864) 591-3484
(864) 751-4115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5060
SC
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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