Individual
COREY ALEXANDER RAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
601 SUTTON RD S, FORT MILL, SC 29715-8439
(803) 909-6447
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
12344
NC
225X00000X
Occupational Therapist
Primary
6802
SC
Other
Enumeration date
05/12/2023
Last updated
12/17/2024
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