Individual
MEGAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 HUNTINGTON RD, SUMMERVILLE, SC 29483-9726
(843) 801-5446
(843) 875-1081
Mailing address
411 HUNTINGTON RD, SUMMERVILLE, SC 29483-9726
(843) 801-5446
(843) 875-1081
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2982
SC
Other
Enumeration date
04/06/2014
Last updated
04/06/2014
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