Individual
ELIZABETH GRACE CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
114 N CHURCH ST, LEXINGTON, SC 29072-2808
(803) 704-4759
Mailing address
1332 SALTY BOTTOM RD, GURLEY, AL 35748-8783
(256) 653-0940
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
449600
SC
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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