Individual
MRS. KIMBERLY HAGWOOD MOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
125 HAMPTON ST, ROCK HILL, SC 29730-4590
(803) 980-4900
Mailing address
2084 PINTA DR, LANCASTER, SC 29720-8439
(803) 530-0356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4461
SC
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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