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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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