Individual
THOMAS CALEB HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 ALLAWOOD CT STE 110, SIMPSONVILLE, SC 29681-6207
(864) 420-1934
Mailing address
401 WEMBERLY DR, SIMPSONVILLE, SC 29681-3842
(864) 420-1934
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3599
SC
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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