Individual
MRS. LORI ANN KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4 WOODMARK CT, SIMPSONVILLE, SC 29681-4454
(864) 275-3460
Mailing address
4 WOODMARK CT, SIMPSONVILLE, SC 29681-4454
(864) 962-9752
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2996
SC
Other
Enumeration date
06/13/2011
Last updated
10/24/2017
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