Individual
MEGAN ANNE FITZWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
633 HIERS CORNER RD, WALTERBORO, SC 29488-2831
(843) 782-4512
Mailing address
611 COLLETON LOOP, WALTERBORO, SC 29488-3069
(843) 782-4512
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2642
SC
Other
Enumeration date
01/28/2008
Last updated
06/03/2013
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