Individual
STACEY SEAVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
10990 BELTON HONEA PATH HWY, HONEA PATH, SC 29654-9506
(864) 369-7364
Mailing address
515 ESKEW CIR, ANDERSON, SC 29621-4272
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5184
SC
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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