Individual
ELIZABETH MICHELLE MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8048 OLD LONDON, NORTH CHARLESTON, SC 29406-9564
(256) 504-4236
Mailing address
8048 OLD LONDON, NORTH CHARLESTON, SC 29406-9564
(256) 504-4236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3029
SC
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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