Individual
CONNIE ELAINE BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1110 MARSHALL RD, GREENWOOD, SC 29646-4216
(864) 227-7250
Mailing address
1998 BOYDS MILL POND RD, LAURENS, SC 29360-5608
(864) 575-5052
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2672
SC
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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