Individual
JESSICA HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
513 LONGTOWN RD, LUGOFF, SC 29078-9740
(803) 719-7430
Mailing address
513 LONGTOWN RD, LUGOFF, SC 29078-9740
(803) 719-7430
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6806
SC
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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