Organization
PALMETTO PEDIATRIC OT, LLC
Active
Organization
PALMETTO PEDIATRIC OT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYLEE D MITCHELL OTR/L (OWNER, OCCUPATIONAL THERAPIST)
(803) 319-7723
Entity
Organization
Contact information
Practice address
2427 OLD LEXINGTON HIGHWAY, CHAPIN, SC 29036
(803) 319-7723
(803) 941-7568
Mailing address
2427 OLD LEXINGTON HIGHWAY, CHAPIN, SC 29036
(803) 319-7723
(803) 941-7568
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
3240
SC
Other
Enumeration date
05/31/2010
Last updated
10/17/2018
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