Individual
MICHAEL C JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1182 SADDLEHORN RD, SUMMERVILLE, SC 29483-2234
(843) 714-8552
Mailing address
1182 SADDLEHORN RD, SUMMERVILLE, SC 29483-2234
(843) 714-8552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1737
SC
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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