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Individual

JILLIAN SANDRA LAWTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
104 MALLORY DR, GOOSE CREEK, SC 29445-6406
(843) 996-1471
(843) 808-6986
Mailing address
PO BOX 1119, GOOSE CREEK, SC 29445-1119
(843) 996-1471
(843) 808-6986

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6887
SC

Other

Enumeration date
01/30/2023
Last updated
02/20/2025
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