Individual
KIRSTIN ELLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
487 HIGHWAY 378, LEXINGTON, SC 29072-9177
(803) 520-0985
Mailing address
1719 HEYWARD ST, COLUMBIA, SC 29205-3211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6342
SC
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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