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Individual

MISS GRACEN FARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1367 W MARTINTOWN RD STE 1&2, NORTH AUGUSTA, SC 29860-7616
(803) 617-7523
(803) 386-0362
Mailing address
1367 W MARTINTOWN RD STE 1&2, NORTH AUGUSTA, SC 29860-7616
(803) 617-7523
(803) 386-0362

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5781
SC

Other

Enumeration date
06/27/2025
Last updated
06/27/2025
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