Individual
AMANDA LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1019 TIGER BLVD, SUITE 105, CLEMSON, SC 29631-2916
(864) 654-0431
(864) 654-0799
Mailing address
1039 SHILOH RD, SENECA, SC 29678-1209
(864) 614-0701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3814
SC
Other
Enumeration date
05/23/2012
Last updated
11/07/2017
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