Individual
MRS. DENISE H MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1071 MORRISON DR, STE A, CHARLESTON, SC 29403
(843) 723-6915
Mailing address
3921 NELSONVIEW DR, AWENDAW, SC 29429-6086
(843) 884-8955
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
294
SC
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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