Individual
EDWARD HUSSEY CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
10 E HOSPITAL ST, MANNING, SC 29102-3153
(803) 435-3162
(803) 435-3163
Mailing address
2570 CARRIAGE DR, SUMTER, SC 29154-7111
(803) 481-4089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2216
SC
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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