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Individual

MEREDITH KETCHUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
112 SPARTAN CT, GREER, SC 29650-3016
(864) 361-4010
Mailing address
112 SPARTAN CT, GREER, SC 29650-3016
(864) 361-4010

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3458
SC

Other

Enumeration date
07/28/2015
Last updated
07/28/2015
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