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Individual

CHRISTY MYJAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
614 WATEREE DR, CHARLESTON, SC 29407-6635
(774) 721-6252
Mailing address
614 WATEREE DR, CHARLESTON, SC 29407-6635
(774) 721-6252

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5507
SC

Other

Enumeration date
04/30/2019
Last updated
04/30/2019
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