Individual
AMBER MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 WELLMORE DR, LEXINGTON, SC 29072-9172
(803) 520-1200
Mailing address
37 GROOVER CIR, CAYCE, SC 29033-1740
(843) 861-1367
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5539
SC
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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