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Individual

HARRY BRENT DEGEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
10 FOUNTAINVIEW TER, GREENVILLE, SC 29607-4033
(864) 528-5547
(864) 528-5541
Mailing address
10 FOUNTAINVIEW TER, GREENVILLE, SC 29607-4033
(864) 528-5547
(864) 528-5541

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2843
SC

Other

Enumeration date
05/16/2010
Last updated
05/16/2010
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