Individual
JERRY ANDREW RETTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
379 PINEHAVEN STREET EXT, LAURENS, SC 29360-2672
(864) 984-6584
(864) 984-6464
Mailing address
379 PINEHAVEN STREET EXT, LAURENS, SC 29360-2672
(864) 984-6584
(864) 984-6464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4084
SC
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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