Individual
KIRSTEN RUNKLE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1803 EBENEZER RD, ROCK HILL, SC 29732-1189
(803) 620-9702
(803) 620-9722
Mailing address
1803 EBENEZER RD, ROCK HILL, SC 29732-1189
(803) 620-9702
(803) 920-6722
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2465
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1128
—
SC
Enumeration date
07/22/2006
Last updated
07/08/2020
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