Individual
MCKENZIE JEWELL ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1885 RIFLE RANGE RD, MOUNT PLEASANT, SC 29464-9440
(843) 856-4713
Mailing address
1885 RIFLE RANGE RD, MOUNT PLEASANT, SC 29464-9440
(843) 856-4713
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.6108
SC
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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