Organization
UPPER EXTREMITY REHAB SPECIALISTS, PA
Active
Other names
Physical Therapy &Upper Extremity Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN C. ANDERSON OTR/CHT (CERTIFIED HAND THERAPIST)
(864) 286-9966
Entity
Organization
Contact information
Practice address
201 ROPER CREEK DR, GREENVILLE, SC 29615-6927
(864) 286-9966
(864) 286-9933
Mailing address
201 ROPER CREEK DR, GREENVILLE, SC 29615-6927
(864) 286-9966
(864) 286-9933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
736
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7649611
AETNA IDENTIFIER
SC
Enumeration date
05/18/2006
Last updated
02/10/2011
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