Individual
MS. DENISE LEIGH TABACHECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 4TH AVE, CONWAY, SC 29527-6002
(843) 248-5728
Mailing address
1009 SHEM CREEK CIR, MYRTLE BEACH, SC 29588-7161
(843) 294-1222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2527
SC
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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