Individual
MRS. HEATHER BOATWRIGHT TRUESDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3620 COVENANT RD, COLUMBIA, SC 29204-4216
(803) 787-3033
Mailing address
3 BOWIE DRIVE, LUGOFF, SC 29078
(803) 420-2254
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6033
SC
Other
Enumeration date
02/18/2021
Last updated
02/24/2023
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