Individual
MRS. HEATHER M VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1571 SANFORD RD, CHARLESTON, SC 29407-6952
(704) 241-3432
Mailing address
1571 SANFORD RD, CHARLESTON, SC 29407-6952
(704) 241-3432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2422
SC
225X00000X
Occupational Therapist
5536
NC
Other
Enumeration date
10/10/2008
Last updated
11/18/2014
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