Individual
REBECCA M FOSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 OLD VILLAGE DR, MT PLEASANT, SC 29464-4941
(843) 532-1325
Mailing address
1525 OLD VILLAGE DR, MT PLEASANT, SC 29464-4941
(843) 532-1325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
401
SC
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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