Individual
KENDALL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 JOHNNIE DODDS BLVD STE G, MT PLEASANT, SC 29464-3100
(843) 654-9694
Mailing address
1029 MAXCY ST, COLUMBIA, SC 29201-1847
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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