Individual
RACHEL HASTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3803 PALMETTO DR, MYRTLE BEACH, SC 29577-5944
(843) 455-7505
Mailing address
105 SHARONVIEW ST, FORT MILL, SC 29715
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2615
SC
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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