Individual
TREACY BAKER BOZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
301 SLIDING HILL RD, CHERAW, SC 29520-1730
(843) 921-4884
Mailing address
301 SLIDING HILL RD, CHERAW, SC 29520-1730
(843) 921-4884
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2202
SC
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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