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Individual

PETRINA YVETTE HARDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
220 HASEL ST, SUMTER, SC 29150-4506
(803) 774-5500
Mailing address
336 MAGNA CARTA RD., FLORENCE, SC 29501

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
761
SC

Other

Enumeration date
07/16/2019
Last updated
07/16/2019
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