Individual
MARTHA CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WILLOW LN, SPARTANBURG, SC 29307-1365
(864) 641-3125
Mailing address
PO BOX 170038, SPARTANBURG, SC 29301-0020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6758
SC
Other
Enumeration date
07/31/2023
Last updated
08/22/2023
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