Individual
MRS. AMELIA MAITLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 SAINT CLAIR ST, FORT MILL, SC 29715-7607
(734) 716-4402
Mailing address
5050 SAINT CLAIR STREET, FORT MILL, SC 29715
(734) 716-4402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8942
NC
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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