Individual
LOGAN HILL TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2361 N FRASER ST, GEORGETOWN, SC 29440-6410
(843) 545-5300
Mailing address
2361 N FRASER ST, GEORGETOWN, SC 29440-6410
(843) 520-8810
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5291
SC
Other
Enumeration date
01/30/2020
Last updated
06/15/2022
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