Individual
CALLI STUDEBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Mailing address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406-9149
(846) 569-4546
(843) 569-4535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
05
—
TH3303
—
SC
Enumeration date
09/26/2014
Last updated
03/11/2019
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