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Individual

DR. NATHAN BERNARD HERZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTD, MBA, OTR/L

Contact information

Practice address
604 WOODYARD RD, TRENTON, SC 29847-2833
(803) 334-5308
Mailing address
604 WOODYARD RD, TRENTON, SC 29847-2833
(803) 334-5308

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
631
SC
225X00000X
Occupational Therapist
Primary
OT003999
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
631
OCCUPATIONAL THERAPY
SC
01
OT003999
OCCUPATIONAL THERAPY
GA
Enumeration date
03/10/2022
Last updated
03/10/2022
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