Individual
GRACE ELIZABETH HERLONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1885 RIFLE RANGE RD, MT PLEASANT, SC 29464-9440
(843) 856-4700
Mailing address
1902 ION AVE, SULLIVANS ISLAND, SC 29482-9722
(843) 303-3000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
378272
SC
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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