Individual
MARY KATHLEEN EMBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1407 ASHLEY RIVER ROAD, CHARLESTON, SC 29407-5305
(843) 769-0663
(843) 769-0665
Mailing address
1407 ASHLEY RIVER ROAD, CHARLESTON, SC 29407-5305
(843) 769-0663
(843) 769-0665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2659
SC
Other
Enumeration date
12/19/2006
Last updated
05/04/2009
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