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Individual

RANDI J. CARLSON - NEIDEFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
104 SPRINGFIELD PL, GOOSE CREEK, SC 29445-5407
(843) 553-1665
(843) 766-3478
Mailing address
104 SPRINGFIELD PL, GOOSE CREEK, SC 29445-5407
(843) 553-1665
(843) 766-3478

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2990
SC

Other

Enumeration date
02/21/2007
Last updated
04/18/2017
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