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Individual

KATHLEEN C. ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/CHT

Contact information

Practice address
1 CREEKVIEW CT., SUITE B, GREENVILLE, SC 29615-4800
(864) 286-9966
(864) 286-9933
Mailing address
1 CREEKVIEW COURT, SUITE B, GREENVILLE, SC 29615-4800
(864) 286-9966
(864) 286-9933

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
736
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7649611
AETNA
SC
Enumeration date
07/03/2006
Last updated
07/08/2007
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