Individual
COLLEEN RENEE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2 DOCTORS DR, GREENVILLE, SC 29605-4265
(864) 797-7320
Mailing address
103 N MAIN ST, STE 300, GREENVILLE, SC 29601-2796
(864) 528-5700
(864) 528-5701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
796
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0744
—
SC
Enumeration date
03/04/2006
Last updated
07/01/2014
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